Individual
DR. HASSAN NICHOLAS SHAMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210A E SPRING VALLEY PIKE, DAYTON, OH 45458-2653
(937) 412-4230
(937) 435-4230
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 457-8180
(614) 583-3300
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
35.076407
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35.076407
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117915
—
OH
05
—
036111190
—
IL
05
—
166849
—
AZ
05
—
201283620
—
IN
05
—
7100331780
—
KY
Enumeration date
11/10/2005
Last updated
01/17/2023
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