Iman Shamloul

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA003896 Issued in PA

Practice address

140 Nutt Rd
Phoenixville, PA 19460-3906

Phone

(610) 983-1000

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenixville Emergency Care Specialists, LLC

  • Emergency Medicine Physician
  • Phoenixville, PA
  • NPI 1336185743
  NPD
• On Demand Urgent Care Group PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1881083723
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1972054377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 CHURCH RD",
            "city": "ORELAND",
            "state": "PA",
            "postal_code": "190752303",
            "telephone_number": "302-668-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NUTT RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603906",
            "telephone_number": "610-983-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMLOUL",
        "first_name": "IMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003896",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Adult Concierge Service LLC
• Maria Del Pilar Seppi Vinuales, MA
• Gabrielle Seraphin
• Seriously Shiatsu and Massage LLC
• Malav Girish Shah, MD
• Shannon M. Burgess, OD (Valley Forge Eye Care)
• Carl W Sharer, D.O.
• Raj K. Sharma, MD
• Molly Sharp, M.A.
• Alexandra Shaw, DOULA

• Physician Assistant in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.