Provider Demographics
NPI:1962744664
Name:ASSAR, SHABNAM (MD)
Entity type:Individual
Prefix:
First Name:SHABNAM
Middle Name:
Last Name:ASSAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1255 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6226
Mailing Address - Country:US
Mailing Address - Phone:610-402-8430
Mailing Address - Fax:610-402-1676
Practice Address - Street 1:1255 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 2100
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6226
Practice Address - Country:US
Practice Address - Phone:610-402-8430
Practice Address - Fax:610-402-1676
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2023-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD466862207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease