Individual
AIMEE MICHELLE ABU-SHAMSIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
290 N WAYTE LN # 1300, FRESNO, CA 93701-2124
(866) 342-6012
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A71428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A71280
—
CA
01
—
EJ194Z
MEDICARE PTAN
CA
Enumeration date
08/29/2006
Last updated
01/10/2020
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