Healthcare Provider Details

I. General information

NPI: 1902744618
Provider Name (Legal Business Name): UROOJ SHAMIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FNU UROOJ SHAMIM

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 M ST
MERCED CA
95340-2813
US

IV. Provider business mailing address

2700 PISMO TER
FREMONT CA
94538-3073
US

V. Phone/Fax

Practice location:
  • Phone: 209-564-5000
  • Fax:
Mailing address:
  • Phone: 408-637-9698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: