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

Individual provider Family Medicine Physician · NPI 1265513550

Shamim Akhtar Imam, MD is a Family Practice in Herndon, Virginia. Qualified in 1981, 45 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
45
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

504 Elden St # 3
Herndon, VA 20170-4741
Phone: (703) 471-0800
Fax: (703) 471-1332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101046800 (VA)

Record details

NPI number1265513550
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESFebruary 21, 2014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGENERAL PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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