Individual
SAMIR SHAATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 CENTRAL AVE, DODGE CITY, KS 67801
(620) 227-1371
(620) 227-1208
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7782
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0425146
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158640A
—
KS
Enumeration date
11/10/2005
Last updated
12/05/2023
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