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NPI Code Detail

MEDICARE: MOHAMED SHAMIYA MD

MEDICARE:   MOHAMED  SHAMIYA  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
1207R00000XInternal Medicine Physician16441NV
2207R00000XInternal Medicine Physician75370GA
3207R00000XInternal Medicine PhysicianMD36677SC
4208M00000XHospitalist PhysicianA145141CA
5207RS0012XSleep Medicine (Internal Medicine) Physician16441NV

General Provider Information

NPI Number : 1467731505
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED SHAMIYA MD
Provider Business Mailing Address
First Line : PO BOX 31299
Second Line :
City : LAS VEGAS
State : NV
Zip : 89173
Country : US
Telephone Number : 702-478-8819
Fax Number : 702-478-7324
Provider Business Practice Location Address
First Line : 2400 S CIMARRON RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7902
Country : US
Telephone Number : 702-478-8819
Fax Number : 702-478-7324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2011
Last Update Date : 09/16/2022

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Directions to “ MOHAMED SHAMIYA MD” Practice Location

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