Individual
SHAMIM GHADAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 456-2663
Mailing address
PO BOX 1123, JACKSON, MI 49204-1123
(517) 787-6440
(517) 787-7365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN2312003
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN55766
RI
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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