Dr. Sam Reed Shimamoto
Allergist & Immunologist
4915 E Baseline Rd Suite 112
Gilbert
, Arizona 85234-2965
Dr. Sam Reed Shimamoto
Allergist & Immunologist
4915 E Baseline Rd Suite 112
Gilbert
, Arizona 85234-2965
(480) 626-6604
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Sam Reed Shimamoto
- 4915 E Baseline Rd Ste 112
- Gilbert, AZ
- Zip : 85234-2966
- Fax : (480) 626-6604
- Phone : (480) 626-6600
Second Address
- Dr. Sam Reed Shimamoto
- 4915 E Baseline Rd Suite 112
- Gilbert, AZ
- Zip : 85234-2965
- Fax : (480) 626-6604
- Phone : (480) 626-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 29558 | AZ |
National Provider Identifier
| NPI | 1073587382 |
|---|---|
| Provider Name | Dr. Sam Reed Shimamoto |
| First Address | Gilbert, AZ 85234-2966 |
| Second Address | Gilbert, AZ 85234-2965 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 03/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H65616 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.