Healthcare Provider Details

I. General information

NPI: 1275467193
Provider Name (Legal Business Name): KASHIF ABBAS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4245 OVERTON AVE
NOTTINGHAM MD
21236-4011
US

IV. Provider business mailing address

4245 OVERTON AVE
NOTTINGHAM MD
21236-4011
US

V. Phone/Fax

Practice location:
  • Phone: 240-226-8354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: