Fadi Michel Shamsham in Mt. Vernon - Cardiovascular Disease
Fadi Michel Shamsham - NPI 1942203971
Fadi Michel Shamsham is a Cardiovascular Disease in Mt. Vernon, Illinois. Fadi Michel Shamsham practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Fadi Michel Shamsham is 1942203971. The last update date is 2010-04-19.
Fadi Michel Shamsham's current location address is 4115 S. Water Tower Place, Mt. Vernon, Illinois. You can contact this provider via phone number 6182045462 and fax number 6182045472. The mailing address for Fadi Michel Shamsham is 4115 S. Water Tower Place, Mt. Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fadi Michel Shamsham |
|---|---|
| Address | 4115 S. Water Tower Place, Mt. Vernon, Illinois |
| Phone Number | 6182045462 |
| Fax Number | 6182045472 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942203971 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2010-04-19 |
Provider Mailing Address Detail
| Address | 4115 S. Water Tower Place |
|---|---|
| City | Mt. Vernon |
| State | Illinois (IL) |
| Post Code | 628640 |
| Phone Number | 6182045462 |
| Fax Number | 6182045472 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 36123701 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36123701 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fadi Michel Shamsham by the Centers for Medicare & Medicaid Services?
The Fadi Michel Shamsham has been issued the NPI (National Provider Identifier) 1942203971, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Fadi Michel Shamsham is physically located?
The Fadi Michel Shamsham is physically situated at the following address: 4115 S. Water Tower Place, Mt. Vernon, IL, 628640.
What is the Fadi Michel Shamsham's area of specialization and corresponding taxonomy classification?
The Fadi Michel Shamsham's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.
On what date did the Fadi Michel Shamsham receive its 1942203971 assignment from the Centers for Medicare & Medicaid Services?
The Fadi Michel Shamsham was assigned its 1942203971 by the Centers for Medicare & Medicaid Services on 2005-05-23.
As of what date were the details related to Fadi Michel Shamsham most recently updated or revised?
The information pertaining to Fadi Michel Shamsham, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-19.