Provider Demographics
NPI:1538510813
Name:ASHI, SHAYMAA M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAYMAA
Middle Name:M
Last Name:ASHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAYMAA
Other - Middle Name:M
Other - Last Name:ASHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,
Mailing Address - Street 1:213 DELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2702
Mailing Address - Country:US
Mailing Address - Phone:832-299-0396
Mailing Address - Fax:
Practice Address - Street 1:245 N 15TH ST # MS 435
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1101
Practice Address - Country:US
Practice Address - Phone:215-762-1179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT211038207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology