Organization
SAHIB K SHAMMAA, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE MARIE BUGG (SECRETARY)
(304) 466-1243
Entity
Organization
Contact information
Practice address
623 TEMPLE ST, HINTON, WV 25951-2230
(304) 466-1243
(304) 466-6050
Mailing address
623 TEMPLE ST, POB 370, HINTON, WV 25951-2230
(304) 466-1243
(304) 466-6050
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10770
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000512
—
WV
Enumeration date
06/25/2008
Last updated
09/07/2011
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