National Provider Identifier Database

FADI M SHAMSHAM, MD – NPI #1942203971
Interventional Cardiology

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.


Contact Information

FADI M SHAMSHAM, MD
4115 S. WATER TOWER PLACE
MOUNT VERNON, IL62864
Phone: 618-204-5462
Fax: 618-204-5472
Website:
Specialty Taxonomy Code
* Interventional Cardiology 207RI0011X
Cardiovascular Disease 207RC0000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for FADI M SHAMSHAM

NPI Number 1942203971
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 04/19/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036123701
  • IL Medicaid: 036123701
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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