Provider Demographics
NPI:1346570454
Name:SHAMSEDDEEN, HAZEM N (MD)
Entity Type:Individual
Prefix:
First Name:HAZEM
Middle Name:N
Last Name:SHAMSEDDEEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2221 STOCKTON BLVD BLDG
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1418
Mailing Address - Country:US
Mailing Address - Phone:317-865-4800
Mailing Address - Fax:317-865-4806
Practice Address - Street 1:2221 STOCKTON BLVD., CYPRESS BLDG.
Practice Address - Street 2:SUITE F
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1418
Practice Address - Country:US
Practice Address - Phone:317-865-4800
Practice Address - Fax:317-865-4806
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2018-09-19
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Provider Licenses
StateLicense IDTaxonomies
CAA112348208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery