=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407013956
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WECARE COMPREHENSIVE FAMILY MEDICINE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2008
-----------------------------------------------------
Last Update Date | 01/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10700 CHARTER DR STE 330
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21044-3695
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-707-0847
-----------------------------------------------------
Fax | 410-992-4474
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10700 CHARTER DR STE 330
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21044-3695
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-707-0847
-----------------------------------------------------
Fax | 410-715-9884
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL DIRECTOR
-----------------------------------------------------
Name | DR. HAMID EHSANI-SHISHVAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 410-707-0847
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | D0065701
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | D0065701
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------