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NPI Code Detail

MEDICARE: DR. MOUSTAFA S SHAMMA M.D.

MEDICARE: DR. MOUSTAFA S SHAMMA 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
1207P00000XEmergency Medicine PhysicianD0043690MD
2207R00000XInternal Medicine PhysicianD43690MD
3208D00000XGeneral Practice PhysicianD43690MD

General Provider Information

NPI Number : 1336149632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOUSTAFA S SHAMMA M.D.
Provider Business Mailing Address
First Line : 6400 MARLBORO PIKE
Second Line :
City : DISTRICT HEIGHTS
State : MD
Zip : 20747-2841
Country : US
Telephone Number : 301-736-7000
Fax Number :
Provider Business Practice Location Address
First Line : 8118 GOOD LUCK RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-3574
Country : US
Telephone Number : 301-552-8665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 11/11/2016

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