Shamilov, Maasi
Shamilov, Maasi is an individual health care provider with primary practice located at 765 E Route 70 Bldg 100-A , Marlton NJ 08053-2341. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Shamilov, Maasi can be contacted via phone (856) 983-3900.Contact Information
Primary practice address
765 E Route 70 Bldg 100-A
Marlton NJ 08053-2341
Phone: (856) 983-3900
Fax: (856) 810-0110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MA 65098 | New Jersey |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA06509800 | New Jersey |
Profile Details
| NPI number | 1528073491 |
|---|---|
| LBN Legal business name | Shamilov, Maasi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Oct 27th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528073491 | NPPES |
| New Jersey | MEDICAID | 7270402 |
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