Individual
SOUHAIL SHAMIYEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 VIRGINIA AVE NE, SUITE 107, NORTON, VA 24273-1538
(276) 679-5390
(276) 679-5395
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101041402
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005846498
—
VA
01
—
110120199
RAILROAD MEDICARE
VA
05
—
64664329
—
KY
Enumeration date
01/27/2006
Last updated
07/27/2012
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