MEDICARE: SHAMNA HARIS M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036135405	IL
2	207RC0000X	Cardiovascular Disease Physician	036135405	IL
3	207RI0011X	Interventional Cardiology Physician	036135405	IL

General Provider Information

NPI Number	:	1073899522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMNA HARIS M.D

Provider Business Mailing Address
First Line	:	1500 SOUTH CALIFORNIA AVE.
Second Line	:	MOUNT SINAI HOSPITAL
City	:	OAK PARK
State	:	IL
Zip	:	60608-1119
Country	:	US
Telephone Number	:	319-400-7544
Fax Number	:	773-257-6027

Provider Business Practice Location Address
First Line	:	1500 SOUTH CALIFORNIA
Second Line	:	MOUNT SINAI HOSPITAL, INTERNAL MEDICINE DEPARTMENT
City	:	CHICAGO
State	:	IL
Zip	:	60608-1797
Country	:	US
Telephone Number	:	773-257-5077
Fax Number	:	773-257-6027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2011
Last Update Date	:	12/30/2024

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Directions to “ SHAMNA HARIS M.D” Practice Location

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