Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD2006-0142 | NM |
N | 207VG0400X | Gynecologist | 43908 | WI |
Y | 207VG0400X | Gynecologist | MD2006-0142 | NM |
NPI | 1801865878 |
---|---|
Provider Name | Shamarie Sais |
First Address | Albuquerque, NM 87106-1314 |
Second Address | Albuquerque, NM 87106-1314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
95534075 | (05) | NM |
I17643 | (02) |