Mudali, Shiyama
Mudali, Shiyama is an individual health care provider with primary practice located at 375 Dixmyth Ave , Cincinnati OH 45220-2475. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Mudali, Shiyama can be contacted via phone (513) 865-1321.Contact Information
Primary practice address
375 Dixmyth Ave
Cincinnati OH 45220-2475
Phone: (513) 865-1321
Fax: (513) 865-1254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 35.120826 | Ohio |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME108420 | Florida |
Profile Details
| NPI number | 1982756565 |
|---|---|
| LBN Legal business name | Mudali, Shiyama |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Mar 23rd, 2023 - about 3 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 | 1982756565 | NPPES |
| Florida | MEDICAID | 003496200 |
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