45D0959671 CLIA NUMBER - SHAMA QURAISHI MD

Laboratory Demographics

CLIA Number: 45D0959671

Facility Name: SHAMA QURAISHI MD

Facility Address:
2342 DOWLEN RD, SUITE 102
BEAUMONT, TX
ZIP 77706
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Facility Phone Number: 409 832-7195

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013383827

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0959671
LAB Type	Physician Office
Facility Name	SHAMA QURAISHI MD
Street	2342 DOWLEN RD, SUITE 102
City	BEAUMONT
State	TX
ZIP	77706
Phone	409 832-7195
CertificateType	4
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024