Shams, Kiumars E.
Shams, Kiumars E. is an sole proprietor health care provider with primary practice located at 5389 Cotton St , Graceville FL 32440-1739. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Shams, Kiumars E. can be contacted via phone (850) 360-4147.Contact Information
Primary practice address
5389 Cotton St
Graceville FL 32440-1739
Phone: (850) 360-4147
Fax: (850) 360-4068
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME29949 | Florida |
Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | ME29949 | Florida |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME29949 | Florida |
Profile Details
NPI number | 1386780302 |
---|---|
LBN Legal business name | Shams, Kiumars E. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 29th, 2007 |
Last updated | Jan 6th, 2022 - about 3 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 | 1386780302 | NPPES |
Florida | MEDICAID | 038295700 | |
Florida | Other | 582678372 | |
Florida | Other | 79178 |
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