Healthcare Provider Details

I. General information

NPI: 1407013956
Provider Name (Legal Business Name): WECARE COMPREHENSIVE FAMILY MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 CHARTER DR STE 330
COLUMBIA MD
21044-3695
US

IV. Provider business mailing address

10700 CHARTER DR STE 330
COLUMBIA MD
21044-3695
US

V. Phone/Fax

Practice location:
  • Phone: 410-707-0847
  • Fax: 410-992-4474
Mailing address:
  • Phone: 410-707-0847
  • Fax: 410-715-9884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0065701
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberD0065701
License Number StateMD

VIII. Authorized Official

Name: DR. HAMID EHSANI-SHISHVAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 410-707-0847