Individual
MR. TANZID SHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 N STATE OF FRANKLIN RD, SUITE 135, JOHNSON CITY, TN 37604
(423) 431-2350
(423) 431-2372
Mailing address
410 N STATE OF FRANKLIN RD, SUITE 135, JOHNSON CITY, TN 37604
(423) 431-2350
(423) 431-2372
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
255755
MA
2084N0400X
Neurology Physician
Primary
53348
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245559236
—
VA
01
—
P01607434
RAILROAD MEDICARE
TN
05
—
Q015345
—
TN
Enumeration date
05/31/2010
Last updated
02/23/2017
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