Mohammad Shamshuddin, M.D.

Internal Medicine Physician · Tinley Park, IL

Individual Active NPI

NPI number 1801896261

Practice location

6703 159TH St
Suite 103
Tinley Park, IL 60477-1781
Phone
(708) 342-3000
Fax
(708) 342-3060

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NPI record

NPI
1801896261
Entity type
Individual (Type 1)
Enumeration date
July 28, 2005
Last updated
December 19, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 036091936 IL

Mailing address

27702 Network Pl
Chicago, IL 60673-1277
Phone
(708) 862-7674
Fax
(708) 862-1781

About Dr. Shamshuddin

Mohammad Shamshuddin, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 6703 159TH St, Suite 103, Tinley Park, IL 60477-1781. The NPI number 1801896261 was assigned on July 28, 2005 and the record was last updated on December 19, 2018.

Dr. Shamshuddin lists a license in the registry: #036091936 (IL) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mohammad Shamshuddin, M.D.?

The NPI number is 1801896261.

What is the phone number of Dr. Shamshuddin?

The phone number listed for the practice location is (708) 342-3000.

Where is Dr. Shamshuddin located?

6703 159TH St, Suite 103, Tinley Park, IL 60477-1781.

What is the taxonomy code for Dr. Shamshuddin?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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