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
Phone: (603) 891-4804
Fax: (603) 891-4809
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528061637 | NPPES |
| New Hampshire | MEDICAID | 3074073 |
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