Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Shamis, MBBCHBAO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477258929

Dr. Ethan Shamis, MBBCHBAO is a Student in an Organized Health Care Education/Training Program in Scranton, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

501 S Washington Ave
Scranton, PA 18505
Phone: (570) 591-5153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1477258929
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBCHBAO
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESDecember 6, 2023
Certification dateApril 4, 2023

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