Provider Demographics
NPI:1942527759
Name:ABIDI, SHAHAB NAHEED (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHAB
Middle Name:NAHEED
Last Name:ABIDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 OLD LYME RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3718
Mailing Address - Country:US
Mailing Address - Phone:410-561-3774
Mailing Address - Fax:
Practice Address - Street 1:2 OLD LYME RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-3718
Practice Address - Country:US
Practice Address - Phone:410-561-3774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD43851207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine