Healthcare Provider Details

I. General information

NPI: 1477865814
Provider Name (Legal Business Name): FAHIMA AZIZI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11116 MEDICAL CAMPUS RD
HAGERSTOWN MD
21742-6710
US

IV. Provider business mailing address

801 TOLL HOUSE AVE STE E
FREDERICK MD
21701-6111
US

V. Phone/Fax

Practice location:
  • Phone: 301-790-8000
  • Fax:
Mailing address:
  • Phone: 301-732-7875
  • Fax: 833-955-3647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0080779
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD449484
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: