Shamil J. Morayati, MD

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

33871 Issued in NC

Legal business name

SHAMIL J. MORAYATI, MD

Practice address

2921 Crouse LN
Burlington, NC 27215-8833

Phone

(336) 585-1212

Fax

(336) 585-1112

NPI assigned

Mar 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sam J Morayati, MD

Title

Owner

Phone

(336) 585-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Burlington Medical Ctr/Carolina Nuclear Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1083673404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158833",
            "telephone_number": "336-585-1212",
            "fax_number": "336-585-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158833",
            "telephone_number": "336-585-1212",
            "fax_number": "336-585-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMIL J. MORAYATI, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "MORAYATI",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-585-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "33871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890114E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Medical Ctr/Carolina Nuclear Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Itumeleng Shadreck, LCSWA
• Hemang Kalpeshkumar Shah, MBBS
• Rumin M. Shah, DO
• Vipul S Shah, M.D.
• Melody N Shambley, C.N.M.
• Elise A. Shaner, L.M.B.T.
• Timothy C. Shaner, L.C.S.W.
• Sharon J Cobham DDS & Nicole Lecann DDS PA
• Sheila Childers Smith
• Shipman Family Home Care Inc.

• Preferred Provider Organization in Burlington, NC
• Providers in Burlington, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.