Provider Demographics
NPI:1275883415
Name:SHAMIR, AMITH ROY (MD)
Entity Type:Individual
Prefix:MR
First Name:AMITH
Middle Name:ROY
Last Name:SHAMIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:AMITH ROY
Other - Middle Name:
Other - Last Name:SHAMIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1001
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-5001
Mailing Address - Country:US
Mailing Address - Phone:724-355-2566
Mailing Address - Fax:724-548-1396
Practice Address - Street 1:111 WOODY DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-7603
Practice Address - Country:US
Practice Address - Phone:724-287-1000
Practice Address - Fax:724-548-1396
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP723207RN0300X
PAMD466870207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology