Healthcare Provider Details

I. General information

NPI: 1578889069
Provider Name (Legal Business Name): ARAM SHEMMASSIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2010
Last Update Date: 12/15/2021
Certification Date: 12/09/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8761
US

IV. Provider business mailing address

2037 W ELLERY WAY
FRESNO CA
93711-1825
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-5803
  • Fax:
Mailing address:
  • Phone: 818-749-7846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA125529
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: