| Shamynds Healing Center Pc | |
|
2012 19th St Ste 100 Sacramento CA 95818-1668 | |
| (916) 538-6498 | |
| (916) 498-2457 |
| Full Name | Shamynds Healing Center Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2012 19th St Ste 100, Sacramento, California |
| Authorized Official Name and Position | Alya Zia Ahmad (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5596237858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shamynds Healing Center Pc 2012 19th St Ste 100 Sacramento CA 95818-1668 Ph: (916) 538-6498 | Shamynds Healing Center Pc 2012 19th St Ste 100 Sacramento CA 95818-1668 Ph: (916) 538-6498 |
| NPI Number | 1831854447 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 3577939826 |
|---|---|
| Medicare Enrollment ID | O20221012000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831854447 | NPI | - | NPPES |
| Provider Name | David W Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114902178 PECOS PAC ID: 3779581285 Enrollment ID: I20061116000605 |
| Provider Name | Tasnim A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740277227 PECOS PAC ID: 4880653807 Enrollment ID: I20180309001014 |
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