Provider Demographics
NPI:1205077229
Name:CHAMAS, FIRAS MALEK (MD PHD)
Entity type:Individual
Prefix:
First Name:FIRAS
Middle Name:MALEK
Last Name:CHAMAS
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E 77TH ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1851
Mailing Address - Country:US
Mailing Address - Phone:212-737-3301
Mailing Address - Fax:212-734-0407
Practice Address - Street 1:130 E 77TH ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1851
Practice Address - Country:US
Practice Address - Phone:212-737-3301
Practice Address - Fax:212-734-0407
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265232207X00000X
AL31028207X00000X
MDD71067207X00000X
NYAL408860481198207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051119879OtherBCBS
AL051119878OtherBCBS
AL130388Medicaid
AL130389Medicaid
MD036681100Medicaid
AL051119877OtherBCBS
MS08228001Medicaid
AL130390Medicaid
MD188828Y1KMedicare PIN
AL130388Medicaid