Provider Demographics
NPI:1134780661
Name:SHAMS SCHIMMELS, NASHEED M (MD)
Entity type:Individual
Prefix:
First Name:NASHEED
Middle Name:M
Last Name:SHAMS SCHIMMELS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NASHEED
Other - Middle Name:
Other - Last Name:SHAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1332 E THUNDERHEAD CIR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1168
Mailing Address - Country:US
Mailing Address - Phone:276-701-7196
Mailing Address - Fax:573-629-3432
Practice Address - Street 1:6200 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3529
Practice Address - Country:US
Practice Address - Phone:276-701-7196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ67777207R00000X
MO2022033311207R00000X, 208M00000X
MI4351045030207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist