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NPI Code Detail

MEDICARE: DR. SAMEER TAJUDDEN SHAIK ABDUL M.D

MEDICARE: DR. SAMEER TAJUDDEN SHAIK ABDUL 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
1207R00000XInternal Medicine PhysicianD71972MD
2207R00000XInternal Medicine PhysicianT7035TX

General Provider Information

NPI Number : 1700033883
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMEER TAJUDDEN SHAIK ABDUL M.D
Provider Business Mailing Address
First Line : 5801 SCOTCHBROOM LN
Second Line :
City : SALISBURY
State : MD
Zip : 21801-2395
Country : US
Telephone Number : 786-738-8384
Fax Number : 410-749-0847
Provider Business Practice Location Address
First Line : 1300 W TERRELL AVE STE K230
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3104
Country : US
Telephone Number : 817-250-4906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2008
Last Update Date : 11/11/2025

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