Individual
AJMAL SHAMIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2615 E HIGH ST, SPRINGFIELD, OH 45505-1412
(937) 325-0531
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35085306
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2534163
—
OH
Enumeration date
05/18/2006
Last updated
12/31/2015
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