Organization
HIFS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAISAL SHABBIR MD (PRACTICE ADMINISTRATOR)
(312) 866-0216
Entity
Organization
Contact information
Practice address
3219A CORPORATE CT, ELLICOTT CITY, MD 21042-2247
(667) 450-8933
Mailing address
9312 OLD LINE CT, COLUMBIA, MD 21045-1820
(667) 450-8933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/04/2026
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