Provider Demographics
NPI:1407155203
Name:EL-SHIMEY, MOHAMED SAYED (DC)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:SAYED
Last Name:EL-SHIMEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1929 CARLOTTA DR APT 2
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-1320
Mailing Address - Country:US
Mailing Address - Phone:925-353-7975
Mailing Address - Fax:
Practice Address - Street 1:3100 CAPITOL AVE STE C
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1527
Practice Address - Country:US
Practice Address - Phone:510-797-4796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31876111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor