Shams, Mitra

Shams, Mitra is an individual health care provider with primary practice located at 6041 Timber Ridge Dr , Prospect KY 40059-8134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shams, Mitra can be contacted via phone (502) 228-2225.

Contact Information

Primary practice address
6041 Timber Ridge Dr Prospect KY 40059-8134
Phone: (502) 228-2225
Fax: (502) 228-2226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TP723 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40284 Kentucky

Profile Details

NPI number 1043310329
LBN Legal business name Shams, Mitra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Nov 29th, 2012 - about 12 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 1043310329 NPPES
Kentucky Other 000000699132 ANTHEM - NCMA
Kentucky Other 50031915 ANTHEM - NCMA
Kentucky Other 7659346 ANTHEM - NCMA
Kentucky Other P00893048 ANTHEM - NCMA
Kentucky MEDICAID 7100020180 ANTHEM - NCMA
Kentucky MEDICAID 200859040 ANTHEM - NCMA
Kentucky Other 121562 ANTHEM - NCMA
Kentucky Other 000057058T ANTHEM - NCMA

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