SHASHANK SAMA


Address: 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002
Phone: 8015853229

SHASHANK SAMA (NPI# 1912435579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912435579
Entity Type Individual
Full Name SHASHANK SAMA
Credential MBBS
Practice Address 30 N 1900 E Rm 5c402
Salt Lake City
UT 84132-0002
Practice Telephone 8015853229
Mailing Telephone 8015853229
Enumeration Date 2017-05-26
Last Update Date 2020-06-03
NPI Deactivation Date 01/03/2018
NPI Reactivation Date 2018-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
11760826-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 30 N 1900 E RM 5C402
City SALT LAKE CITY
State UT
Zip Code 84132-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417384694 Djordje Atanackovic Internal Medicine 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-2706 2013-10-02
1386160596 Daniel A. Ermann Internal Medicine 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 2017-08-18
1679094700 Haoran Li Internal Medicine 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 2017-06-28
1164885083 Kristen Kelley Internal Medicine 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 2016-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881123172 Scott Marriner Browning Internal Medicine 2318 E Field Rose Dr, Salt Lake City, UT 84121-1500 2017-06-08
1356745137 University of Utah Adult Services Internal Medicine 1950 E Circle of Hope Drive, Salt Lake City, UT 84112 2014-10-22
1982049227 Bryan D Huber Internal Medicine 8th Avenue & C Street E8, Salt Lake City, UT 84143-3403 2013-04-30
1457664005 Sabarinath Venniyil Radhakrishna Internal Medicine 2000 Circle of Hope, Suite 2100, Huntsman Cancer Institute, Salt Lake City, UT 84112 2010-07-23
1225164114 Finn Bo Petersen Internal Medicine E8 Lds Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143-0001 2007-02-26
1699775767 Sunil Sharma Internal Medicine 2000 Circle of Hope Dr, #3380, Salt Lake City, UT 84112-5550 2005-07-29
1750380176 Alton Harvey Wagnon Internal Medicine 2890 E Cottonwood Pkwy, Salt Lake City, UT 84121-7035 2005-07-18
1679094700 Haoran Li Internal Medicine 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 2017-06-28
1487018040 University of Utah Pediatric Services Internal Medicine 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-04-11
1164885083 Kristen Kelley Internal Medicine 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 2016-03-29
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84132

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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