Provider Demographics
NPI:1831253640
Name:OAMI, SHIMON (MD)
Entity type:Individual
Prefix:DR
First Name:SHIMON
Middle Name:
Last Name:OAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4548 BRAINERD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5440
Mailing Address - Country:US
Mailing Address - Phone:423-521-1100
Mailing Address - Fax:423-531-7502
Practice Address - Street 1:4548 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5442
Practice Address - Country:US
Practice Address - Phone:423-521-1100
Practice Address - Fax:423-531-7502
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0084307207ZC0500X, 207ZD0900X, 207ZP0102X
GA046797207ZC0500X, 207ZP0102X, 207ZD0900X
NJ25MA07712800207ZC0500X, 207ZD0900X, 207ZP0102X
NY192231207ZC0500X, 207ZD0900X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG69293Medicare UPIN