| Doctor Name: | SAMIR I. SHAHIN |
| NPI Number: | 1043448897 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | IDMT |
| License Number: | |
| Business Practice Address: | 101 Bodin Cir Travis Afb, CA - 945351809 |
| Business Phone Number: | 7074233826 |
| Business Fax Number: | |
| Mailing Address: | 101 Bodin Cir, TRAVIS AFB |
| State: | CA |
| Postal Code: | 945351809 |
| Phone Number: | 7074233826 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 08/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |