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Shumona Zahid Ima

Internal Medicine

Allopathic & Osteopathic Physicians

4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981

PECOS Enrollment

This provider is enrolled in PECOS as SHUMONA IMA.

Based on the most recent information from CMS, provider Shumona Zahid Ima is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265971253
Provider Type
Individual
Full Name
Ima, Shumona Zahid
Credential
M. D.

Gender
Female
Sole Proprietor
No
Enumeration Date
2/23/2017
Last Updated
1/16/2024

Contact Information

Practice Location

4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981

(757) 827-2127

(757) 827-2255

Mailing Location

4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981

(757) 827-2127

(757) 827-2255

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101269255 Virginia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MT212383 Pennsylvania
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 0101269255 Virginia

Shumona Zahid Ima

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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