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Individual

SHASTINE ABATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7004 SECURITY BLVD STE 101, BALTIMORE, MD 21244-2572
(410) 277-3490
(410) 277-4823
Mailing address
7004 SECURITY BLVD STE 101, BALTIMORE, MD 21244-2572
(410) 277-3490
(410) 277-4823

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D50296
MD
207RI0200X
Infectious Disease Physician
Primary
D50296
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
978M 782F
MEDICARE INDIVIDUAL
MD
01
D50296
STATE LICENSE
MD
01
M41040
CDS
MD
Enumeration date
09/27/2006
Last updated
03/07/2023
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