Provider Demographics
NPI:1063625028
Name:ABDI, MAAZA SOPHIA (MD)
Entity type:Individual
Prefix:DR
First Name:MAAZA
Middle Name:SOPHIA
Last Name:ABDI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5411 OLD FREDERICK RD STE 11
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2100
Mailing Address - Country:US
Mailing Address - Phone:410-747-5520
Mailing Address - Fax:410-747-5521
Practice Address - Street 1:5411 OLD FREDERICK ROAD SUITE 11
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21042
Practice Address - Country:US
Practice Address - Phone:410-747-5520
Practice Address - Fax:410-747-5521
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD64847207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology