Provider Demographics
NPI:1801919550
Name:KAZMI, SHAYMA MASTER (MD)
Entity type:Individual
Prefix:
First Name:SHAYMA
Middle Name:MASTER
Last Name:KAZMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAYMA
Other - Middle Name:ABDULHAMID
Other - Last Name:MASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1331 E WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-3808
Mailing Address - Country:US
Mailing Address - Phone:215-537-7804
Mailing Address - Fax:215-537-7585
Practice Address - Street 1:1331 E WYOMING AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-3808
Practice Address - Country:US
Practice Address - Phone:215-537-7804
Practice Address - Fax:215-537-7585
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07647100207RH0003X
PAMD437745207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology