Provider Demographics
NPI:1699888446
Name:SHAMS, HABIB S (DC)
Entity type:Individual
Prefix:
First Name:HABIB
Middle Name:S
Last Name:SHAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 W VIEW PARK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1771
Mailing Address - Country:US
Mailing Address - Phone:412-931-2273
Mailing Address - Fax:412-931-5638
Practice Address - Street 1:1006 W VIEW PARK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1771
Practice Address - Country:US
Practice Address - Phone:412-931-2273
Practice Address - Fax:412-931-5638
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA107755Medicare PIN