Shams, Safwan
Shams, Safwan is an sole proprietor health care provider with primary practice located at 61 Memorial Medical Pkwy Suite 1-800A, Palm Coast FL 32164-5981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shams, Safwan can be contacted via phone (386) 586-1810.Contact Information
Primary practice address
61 Memorial Medical Pkwy Suite 1-800A
Palm Coast FL 32164-5981
Phone: (386) 586-1810
Fax: (386) 586-1811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME 036504 | Florida |
Profile Details
| NPI number | 1316970205 |
|---|---|
| LBN Legal business name | Shams, Safwan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1316970205 | NPPES |
| Florida | MEDICAID | 039746600 |
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