Shabshab, Samir Fayiz

Shabshab, Samir Fayiz is an individual health care provider with primary practice located at 8926 Woodyard Rd Ste 602 , Clinton MD 20735-4235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shabshab, Samir Fayiz can be contacted via phone (301) 868-9414.

Contact Information

Primary practice address
8926 Woodyard Rd Ste 602 Clinton MD 20735-4235
Phone: (301) 868-9414
Fax: (301) 868-6055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D0037366 Maryland
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101052260 Virginia

Profile Details

NPI number 1669430823
LBN Legal business name Shabshab, Samir Fayiz
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 16th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669430823 NPPES
Maryland MEDICAID 115640300

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