Individual
DR. BASSAM NICHOLAS SHAMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4607 MACCORKLE AVE SW, STE 301, SOUTH CHARLESTON, WV 25309-1364
(304) 767-7919
(304) 767-7911
Mailing address
4607 MACCORKLE AVE SW, STE 301, SOUTH CHARLESTON, WV 25309-1364
(304) 767-7919
(304) 767-7911
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16982
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092235000
—
WV
Enumeration date
06/23/2005
Last updated
07/08/2007
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