Healthcare Provider Details

I. General information

NPI: 1992491823
Provider Name (Legal Business Name): RABBIA SAMEEN M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date: 11/17/2023
Reactivation Date: 11/29/2023

III. Provider practice location address

6565 N. CHARLES STREET STE 203
TOWSON MD
21204
US

IV. Provider business mailing address

6565 N. CHARLES STREET STE 203
TOWSON MD
21204
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-3760
  • Fax: 443-849-8138
Mailing address:
  • Phone: 443-849-3760
  • Fax: 443-849-8138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101288268
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: