Individual
SADIYA FATIMA SHAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS, MD
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-0123
Mailing address
3236 LA ROCHELLE WAY, SAN JOSE, CA 95135-2384
(503) 784-4685
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A149121
CA
207LP3000X
Pediatric Anesthesiology Physician
A149121
CA
Other
Enumeration date
06/11/2012
Last updated
02/11/2022
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