Shams, Safwan

Shams, Safwan is an sole proprietor health care provider with primary practice located at 61 Memorial Medical Pkwy Suite 1-800A, Palm Coast FL 32164-5981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shams, Safwan can be contacted via phone (386) 586-1810.

Contact Information

Primary practice address
61 Memorial Medical Pkwy Suite 1-800A Palm Coast FL 32164-5981
Phone: (386) 586-1810
Fax: (386) 586-1811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME 036504 Florida

Profile Details

NPI number 1316970205
LBN Legal business name Shams, Safwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1316970205 NPPES
Florida MEDICAID 039746600

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