Healthcare Provider Details

I. General information

NPI: 1316575541
Provider Name (Legal Business Name): ABID SHAHID JAMIL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 LINDEN AVE
BALTIMORE MD
21201-4606
US

IV. Provider business mailing address

827 LINDEN AVE
BALTIMORE MD
21201-4606
US

V. Phone/Fax

Practice location:
  • Phone: 443-682-6800
  • Fax: 443-552-2991
Mailing address:
  • Phone: 443-682-6873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberD0102647
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: