Organization
NASIR A SHAMSI, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASIR A SHAMSI MD (PRESIDENT)
(219) 844-2256
Entity
Organization
Contact information
Practice address
6933 KENNEDY AVE ST C, HAMMOND, IN 46323-2210
(219) 844-2256
Mailing address
6933 KENNEDY AVE, HAMMOND, IN 46323-2210
(219) 844-2256
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01043702
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20007990
—
IN
Enumeration date
09/30/2010
Last updated
09/30/2010
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