Shah, Mousumee

Shah, Mousumee is an sole proprietor health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Shah, Mousumee can be contacted via phone (937) 641-3000.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-3000
Fax: (937) 641-3107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 192323 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 192323 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 35.137318 Ohio

Profile Details

NPI number 1780021451
LBN Legal business name Shah, Mousumee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2013
Last updated Oct 13th, 2023 - about 2 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 1780021451 NPPES
Ohio MEDICAID 0366519

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