Provider Demographics
NPI:1932283215
Name:KAMAL E SHAMASH MD INC
Entity Type:Organization
Organization Name:KAMAL E SHAMASH MD INC
Other - Org Name:PRIMARY HEALTH CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SHAMASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-991-1842
Mailing Address - Street 1:901 CAMPUS DRIVE
Mailing Address - Street 2:#112
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015
Mailing Address - Country:US
Mailing Address - Phone:610-991-1842
Mailing Address - Fax:610-991-3367
Practice Address - Street 1:901 CAMPUS DRIVE
Practice Address - Street 2:#112
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015
Practice Address - Country:US
Practice Address - Phone:610-991-1842
Practice Address - Fax:610-991-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty