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Bassam N Shamma, M.d., Pllc
Specialist in South Charleston, West Virginia
NPI 1750594529

Bassam N Shamma, M.d., Pllc is a Specialist based in South Charleston, WV. Bassam N Shamma, M.d., Pllc practices in South Charleston, WV. The NPI Number for Bassam N Shamma, M.d., Pllc is 1750594529 and holds a License No. 16982 (West Virginia).

The current practice location address for Bassam N Shamma, M.d., Pllc is 4607 Maccorkle Ave Sw Ste 301, South Charleston, WV and can be reached out via phone at 304-767-7919 and via fax at 304-767-7911.

Location: 4607 Maccorkle Ave Sw Ste 301, South Charleston, WV, 25309-1364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750594529
Provider Name
Bassam N Shamma, M.d., Pllc
Credential
Provider Entity Type
Organization
Address
4607 Maccorkle Ave Sw Ste 301, South Charleston, WV, 25309-1364
Phone Number
304-767-7919
Fax Number
304-767-7911
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9021 01 WV MEDICARE/TRAVELERS
092235000 05 WV
institution
Provider Business Practice Location Address Details
Address
4607 Maccorkle Ave Sw Ste 301
City
South Charleston
State
West Virginia
Zip
25309-1364
Phone Number
304-767-7919
Fax Number
304-767-7911
person
Provider Business Mailing Address Details
Address
4607 Maccorkle Ave Sw Ste 301
City
South Charleston
State
West Virginia
Zip
25309-1364
Phone Number
304-767-7919
Fax Number
304-767-7911
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
16982 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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