Shamim, Tabassum
Shamim, Tabassum is an sole proprietor health care provider with primary practice located at 3709 W Hamilton Ave Suite # 4, Tampa FL 33614-4015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Shamim, Tabassum can be contacted via phone (813) 515-7988.Contact Information
Primary practice address
3709 W Hamilton Ave Suite # 4
Tampa FL 33614-4015
Phone: (813) 515-7988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ME115364 | Florida |
Profile Details
| NPI number | 1538185616 |
|---|---|
| LBN Legal business name | Shamim, Tabassum |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Mar 31st, 2020 - about 4 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 | 1538185616 | NPPES |
| Florida | MEDICAID | 010853700 | |
| Florida | MEDICAID | TS58181 |
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