Nanda, Shelly
Nanda, Shelly is an individual health care provider with primary practice located at 800 Mercy Dr Suite 120, Council Bluffs IA 51503-3128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nanda, Shelly can be contacted via phone (712) 388-2770.Contact Information
Primary practice address
800 Mercy Dr Suite 120
Council Bluffs IA 51503-3128
Phone: (712) 388-2770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36557 | Iowa |
Profile Details
| NPI number | 1598710584 |
|---|---|
| LBN Legal business name | Nanda, Shelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jan 15th, 2015 - about 11 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 | 1598710584 | NPPES |
| Iowa | MEDICAID | 0727099 | |
| Iowa | MEDICAID | 10025393600 |
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