Fadi Shamsham, M.D

NPI 1942203971 · on the registry since 2005

Practice

Address: 4115 S. Water Tower Place
Mt. Vernon, IL 62864
Phone: (618) 204-5462
Fax: (618) 204-5472
Organisation at this address: Southern Illinois Heart And Vascular Center, Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 207RI0011X
207RI0011X
Also registered as: 207R00000X
207RC0000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois