Individual
NABILA SHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10260 SILVERSIDE ST STE 100, IJAMSVILLE, MD 21754-9174
(301) 682-4100
(301) 682-9100
Mailing address
610 SOLAREX CT, FREDERICK, MD 21703-8624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0056786
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926580505
—
MD
05
—
926580508
—
MD
Enumeration date
11/03/2005
Last updated
04/15/2025
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