Doctor Name: | DR. TAHMINA SHEPU |
NPI Number: | 1255714598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0116028644 |
Business Practice Address: | 2323 Memorial Ave Suite #10 Lynchburg, VA - 245012661 |
Business Phone Number: | 4342005200 |
Business Fax Number: | 4342005213 |
Mailing Address: | 2323 Memorial Ave, Suite #10 LYNCHBURG |
State: | VA |
Postal Code: | 245012661 |
Phone Number: | 4342005200 |
Fax Number: | 4342005213 |
NPI Enumeration Date: | 07/06/2015 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116028644 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |