Healthcare Provider Details

I. General information

NPI: 1255124962
Provider Name (Legal Business Name): HIFS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219A CORPORATE CT
ELLICOTT CITY MD
21042-2247
US

IV. Provider business mailing address

9312 OLD LINE CT
COLUMBIA MD
21045-1820
US

V. Phone/Fax

Practice location:
  • Phone: 667-450-8933
  • Fax:
Mailing address:
  • Phone: 667-450-8933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FAISAL SHABBIR
Title or Position: PRACTICE ADMINISTRATOR
Credential: MD
Phone: 312-866-0216