Provider Demographics
NPI:1194917955
Name:HAMID, SHAYA (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAYA
Middle Name:
Last Name:HAMID
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 WEBSTER ST
Mailing Address - Street 2:SUITE 602
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3117
Mailing Address - Country:US
Mailing Address - Phone:510-444-8000
Mailing Address - Fax:510-444-8008
Practice Address - Street 1:3300 WEBSTER ST
Practice Address - Street 2:SUITE 602
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3117
Practice Address - Country:US
Practice Address - Phone:510-444-8000
Practice Address - Fax:510-444-8008
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice