Provider Demographics
NPI:1225820749
Name:SHAMSA, KAYVAN (NMD)
Entity type:Individual
Prefix:
First Name:KAYVAN
Middle Name:
Last Name:SHAMSA
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 N MOHAVE RD
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-8126
Mailing Address - Country:US
Mailing Address - Phone:480-406-7141
Mailing Address - Fax:
Practice Address - Street 1:8215 N MOHAVE RD
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-8126
Practice Address - Country:US
Practice Address - Phone:480-406-7141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath