Pema, Shital

Pema, Shital is an individual health care provider with primary practice located at 4441 Far Hills Ave , Kettering OH 45429-2405. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Pema, Shital can be contacted via phone (937) 298-7351.

Contact Information

Primary practice address
4441 Far Hills Ave Kettering OH 45429-2405
Fax: (937) 298-9458
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 36003246P Ohio

Profile Details

NPI number 1780640995
LBN Legal business name Pema, Shital
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 13th, 2017 - about 7 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 1780640995 NPPES
Ohio MEDICAID 2222080

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