MEDICARE: DR. SHABINA ROOHI AHMED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D0073153	MD

General Provider Information

NPI Number	:	1023145521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHABINA ROOHI AHMED M.D.

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7315 WISCONSIN AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-3202
Country	:	US
Telephone Number	:	240-235-9120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	01/27/2023

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