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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 Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FADI M SHAMSHAM · (Male)

NPI # 1942203971
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 04/19/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036123701
  • IL Medicaid 036123701
Hospital affiliation(s)
  • CROSSROADS COMMUNITY HOSPITAL - (Acute Care)
    8 DOCTORS PARK ROAD
    MOUNT VERNON, IL 62864
  • FRANKLIN HOSPITAL - (Critical Access)
    201 BAILEY LANE
    BENTON, IL 62812
  • GOOD SAMARITAN REGIONAL HEALTH CENTER - (Acute Care)
    1 GOOD SAMARITAN WAY
    MOUNT VERNON, IL 62864
  • SALEM TOWNSHIP HOSPITAL - (Critical Access)
    1201 RICKER DRIVE
    SALEM, IL 62881
  • ST MARYS HOSPITAL - (Acute Care)
    400 NORTH PLEASANT AVENUE
    CENTRALIA, IL 62801
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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