Provider Demographics
NPI:1821033481
Name:SHAMSIE, DARAKHSHAN F (MD)
Entity type:Individual
Prefix:
First Name:DARAKHSHAN
Middle Name:F
Last Name:SHAMSIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 ALLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1933
Mailing Address - Country:US
Mailing Address - Phone:862-662-2221
Mailing Address - Fax:862-661-2230
Practice Address - Street 1:889 ALLWOOD RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1933
Practice Address - Country:US
Practice Address - Phone:862-662-2221
Practice Address - Fax:862-661-2230
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201125207R00000X
NY201125-1207RH0002X
NJ25MA12101700207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01674120Medicaid
NJ1003151Medicaid
NY01674120Medicaid