Provider Demographics
NPI:1902992951
Name:SAMI, SHAZIA ANDLEEB (MD)
Entity Type:Individual
Prefix:
First Name:SHAZIA
Middle Name:ANDLEEB
Last Name:SAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 118TH ST
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2908
Mailing Address - Country:US
Mailing Address - Phone:718-441-4363
Mailing Address - Fax:
Practice Address - Street 1:8550 118TH ST
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2908
Practice Address - Country:US
Practice Address - Phone:718-441-4363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240847207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine