Mahmudi, Shanta

Mahmudi, Shanta is an individual health care provider with primary practice located at 173 Daniel Webster Hwy , Nashua NH 03060-5256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mahmudi, Shanta can be contacted via phone (603) 891-4804.

Contact Information

Primary practice address
173 Daniel Webster Hwy Nashua NH 03060-5256
Fax: (603) 891-4809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11831 New Hampshire

Profile Details

NPI number 1528061637
LBN Legal business name Mahmudi, Shanta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528061637 NPPES
New Hampshire MEDICAID 3074073

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