Bassam N Shamma, M.D., Pllc

LBN: Bassam N Shamma, M.D., Pllc
Bassam N Shamma, M.D., Pllc is an health care organization with primary practice located at 4607 Maccorkle Ave Sw Ste 301 , South Charleston WV 25309-1364. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bassam N Shamma, M.D., Pllc can be contacted via phone (304) 767-7919, or through Shamma, Bassam N via phone (304) 767-7919.

Contact Information

Primary practice address
4607 Maccorkle Ave Sw Ste 301 South Charleston WV 25309-1364
Phone: (304) 767-7919
Fax: (304) 767-7911
Website:
Map and Directions
Authorized official contact:
Name: Shamma, Bassam N Doctor of Medicine (MD)
Phone: (304) 767-7919

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16982 West Virginia

Profile Details

NPI number 1750594529
LBN Legal business name Bassam N Shamma, M.D., Pllc
DBA Doing business as
Authorized official Shamma, Bassam N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated May 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750594529 NPPES
West Virginia Other 9021 MEDICARE/TRAVELERS
West Virginia MEDICAID 092235000 MEDICARE/TRAVELERS

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