MEDICARE: DR. SAMER SHIHABI 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	207RH0000X	Hematology (Internal Medicine) Physician	A78431	CA
2	207RX0202X	Medical Oncology Physician	A78431	CA

General Provider Information

NPI Number	:	1730110768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMER SHIHABI M.D.

Provider Business Mailing Address
First Line	:	3400 DATA DR
Second Line	:	PHYSICIAN SUPPORT SERVICES
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-7956
Country	:	US
Telephone Number	:	916-379-2948
Fax Number	:	916-858-7065

Provider Business Practice Location Address
First Line	:	3301 C ST
Second Line	:	BLDG 500
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3300
Country	:	US
Telephone Number	:	916-733-5300
Fax Number	:	916-733-5920

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	12/31/2013

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Directions to “ DR. SAMER SHIHABI M.D.” Practice Location

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