Provider Demographics
NPI:1548501299
Name:SHAMSI, HIBAH (BS)
Entity type:Individual
Prefix:
First Name:HIBAH
Middle Name:
Last Name:SHAMSI
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 LEICESTER CT
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-2048
Mailing Address - Country:US
Mailing Address - Phone:972-375-3564
Mailing Address - Fax:
Practice Address - Street 1:2517 LEICESTER CT
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2048
Practice Address - Country:US
Practice Address - Phone:972-375-3564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic