Provider Demographics
NPI:1598720245
Name:ABDELSHAHEED, SAMIR TAWFIK (MD)
Entity Type:Individual
Prefix:
First Name:SAMIR
Middle Name:TAWFIK
Last Name:ABDELSHAHEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3925 PORTSMOUTH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-3624
Mailing Address - Country:US
Mailing Address - Phone:757-488-3333
Mailing Address - Fax:757-488-0007
Practice Address - Street 1:3925 PORTSMOUTH BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-3624
Practice Address - Country:US
Practice Address - Phone:757-488-3333
Practice Address - Fax:757-488-0007
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101236853207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine