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
Fax: (850) 360-4068
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386780302 NPPES
Florida MEDICAID 038295700
Florida Other 582678372
Florida Other 79178

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