Provider Demographics
NPI:1902598998
Name:SHAMS, TAMIM
Entity type:Individual
Prefix:
First Name:TAMIM
Middle Name:
Last Name:SHAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:AHMAD TAMIM
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4252 ASHMERE CIR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1514
Mailing Address - Country:US
Mailing Address - Phone:603-341-0945
Mailing Address - Fax:
Practice Address - Street 1:4252 ASHMERE CIR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22025-1514
Practice Address - Country:US
Practice Address - Phone:603-341-0945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No374700000XNursing Service Related ProvidersTechnicianGroup - Single Specialty