Healthcare Provider Details

I. General information

NPI: 1598408866
Provider Name (Legal Business Name): MUHAMMAD SHAHMIR ABBASI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date: 01/12/2023
Reactivation Date: 06/19/2023

III. Provider practice location address

1705 TARBORO ST SW
WILSON NC
27893-3428
US

IV. Provider business mailing address

1705 TARBORO ST SW
WILSON NC
27893-3428
US

V. Phone/Fax

Practice location:
  • Phone: 443-824-3380
  • Fax:
Mailing address:
  • Phone: 443-824-3380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number2026-02171
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: