Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 0101248097 | VA |
Y | 207RC0000X | Internist - Cardiovascular Disease | D75593 | MD |
NPI | 1013178805 |
---|---|
Provider Name | Sadia Jahan Shafi |
First Address | Annapolis, MD 21401-8943 |
Second Address | Annapolis, MD 21401-3046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 30/06/2016 |