MEDICARE: ABDULSEMED BESHIR

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	363A00000X	Physician Assistant	PA031556	DC
2	363A00000X	Physician Assistant	C0006989	MD

General Provider Information

NPI Number	:	1821564972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDULSEMED BESHIR

Provider Business Mailing Address
First Line	:	600 RIDGELY AVE
Second Line	:	STE 130
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-1045
Country	:	US
Telephone Number	:	410-266-8049
Fax Number	:	410-266-8054

Provider Business Practice Location Address
First Line	:	8560 2ND AVE APT 1413
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6314
Country	:	US
Telephone Number	:	202-316-6551
Fax Number	:

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

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	02/09/2026

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