SHAMOON DOCTOR, MD PA
NPI 1396360962
Urology in Del Rio, TX

Active since June 10, 2020
612 N BEDELL AVE STE A, DEL RIO, TX 78840(830) 313-6032 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shamoon Doctor, Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAMOON DOCTOR, MD PA (NPI 1396360962) is a healthcare organization registered as an urology in Del Rio, Texas and active in the NPI registry since June 2020. The organization lists Shamoom Doctor, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1396360962
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSHAMOON DOCTOR, MD PA
Location Address612 N BEDELL AVE STE ADel Rio, TX 78840-4173
Mailing Address804 Eventide DrSan Antonio, TX 78209-5520 · (830) 313-6032
Organization SubpartNo
Authorized OfficialShamoom DoctorPhysician Owner · (830) 313-6032
Enumeration DateJune 10, 2020
NPPES CertifiedJune 10, 2020
NPI 1396360962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
612 N BEDELL AVE STE A, Del Rio, TX 78840

Other Names 1

Former Legal Business NameShamoon Doctor, Md Pa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
612 N BEDELL AVE STE A
DEL RIO, TX 78840
General Practice
612 N BEDELL AVE STE A
DEL RIO, TX 78840
Nurse Practitioner (Family)
612 N BEDELL AVE STE A
DEL RIO, TX 78840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shamoon Doctor, MD PA's NPI number?

The NPI number for Shamoon Doctor, MD PA is 1396360962. It was assigned to this organization in the NPPES registry on June 10, 2020.

Where is Shamoon Doctor, MD PA located?

Shamoon Doctor, MD PA is located at 612 N Bedell Ave Ste A, Del Rio, TX 78840. The listed phone number is (830) 313-6032.

What is Shamoon Doctor, MD PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Shamoon Doctor, MD PA was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.