Provider Demographics
NPI:1881782910
Name:SHAMSI, NASIR A (MD)
Entity type:Individual
Prefix:
First Name:NASIR
Middle Name:A
Last Name:SHAMSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6933 KENNEDY AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46323-2210
Mailing Address - Country:US
Mailing Address - Phone:219-844-2256
Mailing Address - Fax:219-844-0823
Practice Address - Street 1:6933 KENNEDY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46323-2210
Practice Address - Country:US
Practice Address - Phone:219-844-2256
Practice Address - Fax:219-844-0823
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01043702208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics