Shafi, Mohammad Sameer

Shafi, Mohammad Sameer is an individual health care provider with primary practice located at 812 Campus Dr , Joliet IL 60435-5128. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Shafi, Mohammad Sameer can be contacted via phone (815) 741-6830.

Contact Information

Primary practice address
812 Campus Dr Joliet IL 60435-5128
Phone: (815) 741-6830
Fax: (815) 741-6832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036102569 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036102569 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036102569 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036102569 Illinois

Profile Details

NPI number 1528052792
LBN Legal business name Shafi, Mohammad Sameer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Sep 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528052792 NPPES
Illinois MEDICAID 036102569

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