Provider Demographics
NPI:1235136979
Name:SALEEM, SHAMSA (MD)
Entity type:Individual
Prefix:
First Name:SHAMSA
Middle Name:
Last Name:SALEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14100 NACOGDOCHES RD STE 116
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-1907
Mailing Address - Country:US
Mailing Address - Phone:210-653-8989
Mailing Address - Fax:210-590-4608
Practice Address - Street 1:14100 NACOGDOCHES RD STE 116
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1907
Practice Address - Country:US
Practice Address - Phone:210-653-8989
Practice Address - Fax:210-590-4608
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136256810OtherWELLMED MEDICAID
TXTXB160633OtherWELLMED MEDICARE
TX136256810OtherWELLMED MEDICAID
TX8750B6Medicare PIN