Shah, Carmelita

Shah, Carmelita is an individual health care provider with primary practice located at 345 1St St S , Winthrop IA 50682-0130. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Shah, Carmelita can be contacted via phone (319) 935-3343.

Contact Information

Primary practice address
345 1St St S Winthrop IA 50682-0130
Phone: (319) 935-3343
Fax: (319) 935-3331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23149 Iowa
Allopathic & Osteopathic Physicians / General Practice 208D00000X 23149 Iowa

Profile Details

NPI number 1174503296
LBN Legal business name Shah, Carmelita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jun 10th, 2019 - about 6 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 1174503296 NPPES
Iowa MEDICAID 0218313

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