Active NPI
Nariman Shamoon
- Point of Service
- Shelby Township, MI
National Provider Identifier
1740666098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 0036565561
- Practice address
- 14585 Sparrow Dr
Shelby Township, MI 48315-5042 - Phone
- (586) 822-7365
- NPI assigned
- Aug 9, 2015
- Last updated
- Aug 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 0036565561 | MI | Primary |
Addresses
Primary practice location
14585 Sparrow Dr
Shelby Township, MI 48315-5042
Mailing address
14585 Sparrow Dr
Shelby Township, MI 48315-5042
Phone (586) 822-7365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0036565561 | MI | MD | Point of Service |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439078400000",
"number": "1740666098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14585 SPARROW DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483155042",
"telephone_number": "586-822-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14585 SPARROW DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483155042",
"telephone_number": "586-822-7365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMOON",
"first_name": "NARIMAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-09",
"last_updated": "2015-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "MI",
"license": "0036565561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.