Provider Demographics
NPI:1982992905
Name:SISIMI MEDIC INC
Entity Type:Organization
Organization Name:SISIMI MEDIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RASHEED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABASSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-868-2555
Mailing Address - Street 1:9135 PISCATAWAY RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2549
Mailing Address - Country:US
Mailing Address - Phone:301-868-2555
Mailing Address - Fax:301-868-2933
Practice Address - Street 1:9135 PISCATAWAY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2549
Practice Address - Country:US
Practice Address - Phone:301-868-2555
Practice Address - Fax:301-868-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0065329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty