Brad A Shammout in Clinton Township - Diagnostic Radiology
Brad A Shammout - NPI 1720067895
Brad A Shammout is a Diagnostic Radiology in Clinton Township, Michigan. Brad A Shammout practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Brad A Shammout is 1720067895. The last update date is 2008-04-20.
Brad A Shammout's current location address is 36175 Harper Ave, Clinton Township, Michigan. You can contact this provider via phone number 5867413772 and fax number 5867414604. The mailing address for Brad A Shammout is 36175 Harper Ave, Clinton Township, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad A Shammout |
|---|---|
| Address | 36175 Harper Ave, Clinton Township, Michigan |
| Phone Number | 5867413772 |
| Fax Number | 5867414604 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1720067895 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 36175 Harper Ave |
|---|---|
| City | Clinton Township |
| State | Michigan (MI) |
| Post Code | 480353274 |
| Phone Number | 5867413772 |
| Fax Number | 5867414604 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 5101014470 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0Q26008 | MI | BCBS PROVIDER NUMBER | |
| 4427962 | MI | -- | |
| 0H26188 | MI | BCBS PROVIDER NUMBER |
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What is the unique provider identifier assigned to Brad A Shammout?
The Brad A Shammout has been issued the NPI (National Provider Identifier) 1720067895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Brad A Shammout is located?
The Brad A Shammout is situated at the following address: 36175 Harper Ave, Clinton Township, MI, 480353274.
What is Brad A Shammout's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brad A Shammout is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720067895 to Brad A Shammout?
The Brad A Shammout received its 1720067895 assignment from the Centers for Medicare & Medicaid Services on 2006-01-17.
As of what date was the information regarding Brad A Shammout, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brad A Shammout, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-20.