Individual
SHAMA SHAKIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 HOSPITAL DR, BAY ST LOUIS, MS 39520-1604
(228) 463-9666
(228) 463-0712
Mailing address
PO BOX 475, BILOXI, MS 39533
(228) 374-2494
(228) 374-2713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17318
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125087
—
MS
Enumeration date
03/02/2006
Last updated
10/13/2011
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