Shafi, Mohammad Sameer
Shafi, Mohammad Sameer is an individual health care provider with primary practice located at 812 Campus Dr , Joliet IL 60435-5128. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Shafi, Mohammad Sameer can be contacted via phone (815) 741-6830.Contact Information
Primary practice address
812 Campus Dr
Joliet IL 60435-5128
Phone: (815) 741-6830
Fax: (815) 741-6832
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036102569 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036102569 | Illinois |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036102569 | Illinois |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036102569 | Illinois |
Profile Details
NPI number | 1528052792 |
---|---|
LBN Legal business name | Shafi, Mohammad Sameer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2005 |
Last updated | Sep 15th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528052792 | NPPES |
Illinois | MEDICAID | 036102569 |
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