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

Individual provider Internal Medicine Physician · NPI 1649403767

Tamara I Shashiashvili, DO is a Hospitalist in West Babylon, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2008, 18 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

12 Kenmore St
West Babylon, NY 11704-8112
Phone: (516) 813-7556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 266569 (NY)

Record details

NPI number1649403767
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 24, 2009
Last updated in NPPESApril 25, 2016
Mailing address12 Kenmore St, West Babylon, NY 11704-8112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2008 (18 years in practice)
Group practice Southwest Suffolk Medical Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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