Provider Demographics
NPI:1093889545
Name:KAMAL E SHAMASH MD INC
Entity Type:Organization
Organization Name:KAMAL E SHAMASH MD INC
Other - Org Name:PRIMARY HEALTH CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHAMASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-991-1842
Mailing Address - Street 1:1580 VALENCIA STREET
Mailing Address - Street 2:#603
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110
Mailing Address - Country:US
Mailing Address - Phone:415-821-9393
Mailing Address - Fax:415-821-7819
Practice Address - Street 1:1580 VALENCIA STREET
Practice Address - Street 2:#603
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-821-9393
Practice Address - Fax:415-821-7819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty