Individual provider · NPI-1
Shomoukh Alshamekh, M.D.
Dermatology · Philadelphia, PA
NPI number1164800694
StatusActive
Last updated in NPPESSep 22, 2020
Details
- NPI
- 1164800694
- Entity type
- Individual (NPI-1)
- Name
- Shomoukh Alshamekh
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2015
- Certification date
- Sep 22, 2020
- Last updated
- Sep 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | MD471767 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
525 Jamestown St Ste 206Philadelphia, PA 19128-1751
Phone 215-482-7546
Mailing address
2431 Bainbridge StPhiladelphia, PA 19146-1014
Phone 305-904-3088
Other practice locations
11100 Euclid Ave
Cleveland, OH 44106-1716
Cleveland, OH 44106-1716
Phone 305-904-3088
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