Provider Demographics
NPI:1164657805
Name:SHAMON, DALYA S (MD)
Entity Type:Individual
Prefix:
First Name:DALYA
Middle Name:S
Last Name:SHAMON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:39150 DEQUINDRE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-6983
Mailing Address - Country:US
Mailing Address - Phone:586-268-5440
Mailing Address - Fax:586-268-5441
Practice Address - Street 1:39150 DEQUINDRE RD STE 200
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-6983
Practice Address - Country:US
Practice Address - Phone:586-268-5440
Practice Address - Fax:586-268-5441
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2021-01-21
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Provider Licenses
StateLicense IDTaxonomies
MI4301094062207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine