Individual
DR. MOUSTAFA S SHAMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8665
Mailing address
6400 MARLBORO PIKE, DISTRICT HEIGHTS, MD 20747-2841
(301) 736-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0043690
MD
207R00000X
Internal Medicine Physician
D43690
MD
208D00000X
General Practice Physician
Primary
D43690
MD
Other
Enumeration date
07/28/2005
Last updated
11/11/2016
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