Individual
DR. TABASSUM SHAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3709 W HAMILTON AVE, SUITE # 4, TAMPA, FL 33614-4015
(813) 515-7988
Mailing address
PO BOX 42116, RICHMOND, VA 23224
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME115364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010853700
—
FL
05
—
TS58181
—
RI
Enumeration date
07/14/2006
Last updated
03/31/2020
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