MEDICARE: SHAMARIE SAIS MD

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	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	MD2006-0142	NM
2	207VG0400X	Gynecology Physician	43908	WI
3	207VG0400X	Gynecology Physician	MD2006-0142	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801865878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMARIE SAIS MD

Provider Business Mailing Address
First Line	:	3602 CAMPUS BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-1314
Country	:	US
Telephone Number	:	505-404-8925
Fax Number	:	505-404-8918

Provider Business Practice Location Address
First Line	:	3602 CAMPUS BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-1314
Country	:	US
Telephone Number	:	505-404-8925
Fax Number	:	505-404-8918

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	12/08/2017

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