Individual
DR. FAYEK NICHOLAS SHAMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37000 WOODWARD AVE STE 350, BLOOMFIELD HILLS, MI 48304-0944
(248) 952-9600
(248) 844-2538
Mailing address
37000 WOODWARD AVE STE 350, BLOOMFIELD HILLS, MI 48304-0944
(248) 952-9600
(248) 844-2538
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35065228
OH
207VE0102X
Reproductive Endocrinology Physician
35.065228
OH
207VE0102X
Reproductive Endocrinology Physician
FN059015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036410841
ILLINOIS LICENSE #
IL
01
—
35065228
OHIO LICENSE #
OH
Enumeration date
06/22/2005
Last updated
03/25/2022
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