Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ejaz Anwar Shamim, MD

Individual provider Neurology Physician · NPI 1255493011

Dr. Ejaz Anwar Shamim, MD is a Psychiatry in Largo, Maryland. Qualified in 1997, 29 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Maryland and Virginia.

Years since qualifying
29
Licensed in
DC, MD, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1221 Mercantile Ln
Largo, MD 20774-5374
Phone: (301) 386-6850
Fax: (301) 386-6851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence D68800 (MD)
Neurology Physician Taxonomy 2084N0400X · Licence 0101238222 (VA)
Neurology Physician Taxonomy 2084N0400X · Licence MD036944 (DC)

Record details

NPI number1255493011
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare