Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 0101238223 | VA |
NPI | 1013064435 |
---|---|
Provider Name | Dr. Sadat Anwar Shamim |
First Address | Dallas, TX 75246-1800 |
Second Address | Dallas, TX 75246-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 27/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1856379 | (05) | TX |
1856379-02 | (05) | TX |
I74454 | (02) | TX |