Shima, Mark A
Shima, Mark A is an individual health care provider with primary practice located at 311 Camden St Ste 102 , San Antonio TX 78215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shima, Mark A can be contacted via phone (210) 281-9800.Contact Information
Primary practice address
311 Camden St Ste 102
San Antonio TX 78215
Phone: (210) 281-9800
Fax: (210) 281-1001
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2007009236 | Missouri |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L1745 | Texas |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L1745 | Texas |
Profile Details
NPI number | 1306813787 |
---|---|
LBN Legal business name | Shima, Mark A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Jul 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306813787 | NPPES |
Missouri | Other | 330215429 | CMS |
Missouri | MEDICAID | 204455208 | CMS |
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