Bassam N Shamma, M.D., Pllc in South Charleston - Specialist

Bassam N Shamma, M.D., Pllc - NPI 1750594529

Bassam N Shamma, M.D., Pllc is a Specialist in South Charleston, . Bassam N Shamma, M.D., Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bassam N Shamma, M.D., Pllc is 1750594529. The last update date is 2008-05-23.

Bassam N Shamma, M.D., Pllc's current location address is 4607 Maccorkle Ave Sw Ste 301, South Charleston, . You can contact this provider via phone number 3047677919 and fax number 3047677911. The mailing address for Bassam N Shamma, M.D., Pllc is 4607 Maccorkle Ave Sw Ste 301, South Charleston, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Bassam N Shamma, M.D., Pllc
Address 4607 Maccorkle Ave Sw Ste 301, South Charleston,
Phone Number 3047677919
Fax Number 3047677911
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Shamma N Bassam
Credentials MD
Telephone Number 3047677919

NPI Number Detail

NPI Number 1750594529
Provider Enumeration Date 2007-05-08
Last Updated Date 2008-05-23

Provider Mailing Address Detail

Address 4607 Maccorkle Ave Sw Ste 301
City South Charleston
State (WV)
Post Code 253091364
Phone Number 3047677919
Fax Number 3047677911

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 16982
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9021 WV MEDICARE/TRAVELERS
92235000 WV --

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FAQs about Bassam N Shamma, M.D., Pllc

What is the unique 10-digit identifier code assigned to Bassam N Shamma, M.D., Pllc by the Centers for Medicare & Medicaid Services?

The Bassam N Shamma, M.D., Pllc has been issued the NPI (National Provider Identifier) 1750594529 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Bassam N Shamma, M.D., Pllc is physically located?

The Bassam N Shamma, M.D., Pllc is physically situated at the following address: 4607 Maccorkle Ave Sw Ste 301, South Charleston, WV, 253091364.

What is Bassam N Shamma, M.D., Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Bassam N Shamma, M.D., Pllc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Bassam N Shamma, M.D., Pllc receive its 1750594529 assignment from the Centers for Medicare & Medicaid Services?

The Bassam N Shamma, M.D., Pllc was assigned its 1750594529 by the Centers for Medicare & Medicaid Services on 2007-05-08.

As of what date were the details pertaining to Bassam N Shamma, M.D., Pllc last refreshed?

The information related to the Bassam N Shamma, M.D., Pllc, including its address, specialty, and other relevant details, was last updated on 2008-05-23.

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