Individual
DR. EJAZ ANWAR SHAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 386-6850
(301) 386-6851
Mailing address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 386-6850
(301) 386-6851
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101238222
VA
2084N0400X
Neurology Physician
Primary
D68800
MD
2084N0400X
Neurology Physician
MD036944
DC
Other
Enumeration date
12/15/2006
Last updated
07/01/2021
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