Shamoon Doctor, MD PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SHAMOON DOCTOR, MD PA

Practice address

612 N Bedell Ave Ste a
Del Rio, TX 78840-4173

Phone

(830) 313-6032

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Shamoom Doctor, MD

Title

Physician Owner

Phone

(830) 313-6032

Specialties & licenses 1

Addresses

Other names 1

• Shamoon Doctor, MD PA Former legal business name

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1396360962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 EVENTIDE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095520",
            "telephone_number": "830-313-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N BEDELL AVE STE A",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404173",
            "telephone_number": "830-313-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMOON DOCTOR, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "DOCTOR",
        "authorized_official_first_name": "SHAMOOM",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "830-313-6032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shamoon Doctor, MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hayley Gillen Salem, PT, DPT
• San Felipe del Rio Cisd
• Sylvia Sanchez
• Prasada Venkata Sanku Lakshmi, D.D.S
• Sandra Y Seca, LPC
• Shannon Clinic
• Patricia Jean Sitzes, SLP
• Tiffany R Smith-Hurt, L.C.S.W.
• Stacee Ann Smith, R.D.
• Olutayo Abidemi Sogunro, D.O.

• Urology Physician in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.