Provider Demographics
NPI:1467537654
Name:KARIMI, SHAMS A (MD)
Entity Type:Individual
Prefix:
First Name:SHAMS
Middle Name:A
Last Name:KARIMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:731 MARTIN RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2703
Practice Address - Country:US
Practice Address - Phone:817-514-0346
Practice Address - Fax:817-514-0885
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4256208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX818462OtherFIRSTHEALTH PIN
TX00U87ZOtherBCBSTX GRP PIN
TX86W434OtherBCBSTX IND PIN
TX137345804Medicaid
TX136119804Medicaid
1750369203OtherGRP NPI NUMBER
TX380209OtherPHCS PIN
TX3936067OtherCIGNA PIN
TX1358216OtherUHC PIN
TX4477295OtherAETNA PIN
TX137345811Medicaid
TXKARSF71455OtherCCHIP PIN
TX00U87ZOtherBCBSTX GRP PIN
TX3936067OtherCIGNA PIN
TXKARSF71455OtherCCHIP PIN
TX136119804Medicare PIN