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SHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY NPI 1063789170


NPI Information

NPI: 1063789170
Provider Name: SHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 31D1055495

Address:
668 N BEERS ST
SUITE 104
HOLMDEL, NJ
ZIP 07733
Phone: (732) 888-0017
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SHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY is an internal medicine in Holmdel, NJ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHAMRA MEDICAL LABORATORY LIMITED LIABILITY COMPANY NPI is 1063789170. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

668 N BEERS ST
SUITE 104
HOLMDEL, NJ
ZIP 07733-526
Phone: (732) 888-0017
Fax: (732) 888-0097

The provider's authorized official is Ammar Bazerbashi .
The authorized official title is Medical Doctor and has the following contact phone number (732) 888-0017.

The CLIA number assigned to this NPI record is 31D1055495 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/18/2011 and was last updated on 11/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine25MA072160000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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