Dada, Shamim

Dada, Shamim is an individual health care provider with primary practice located at 322 E Antietam St Suite 106, Hagerstown MD 21740-5794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Dada, Shamim can be contacted via phone (301) 739-6147.

Contact Information

Primary practice address
322 E Antietam St Suite 106 Hagerstown MD 21740-5794
Phone: (301) 739-6147
Fax: (301) 739-6163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D68441 Maryland

Profile Details

NPI number 1497726673
LBN Legal business name Dada, Shamim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497726673 NPPES
Indiana Other 000000490229 ANTHEM PROVIDER NUMBER
Indiana Other 11383676 ANTHEM PROVIDER NUMBER
Indiana Other P00388514 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200188770 ANTHEM PROVIDER NUMBER

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