Shamim, Qurrat Ul Ain

Shamim, Qurrat Ul Ain is an individual health care provider with primary practice located at 145 W 4Th St Suite 201, Cookeville TN 38501-2447. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Shamim, Qurrat Ul Ain can be contacted via phone (931) 783-2902.

Contact Information

Primary practice address
145 W 4Th St Suite 201 Cookeville TN 38501-2447
Fax: (931) 783-2219
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2023050603 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 51989 Tennessee

Profile Details

NPI number 1881894582
LBN Legal business name Shamim, Qurrat Ul Ain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Apr 2nd, 2024 - about last year

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 1881894582 NPPES
Tennessee MEDICAID 7100425380
Tennessee Other 6023511
Tennessee MEDICAID Q007499

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