Individual
HALA H SHAMSUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6186
(319) 384-7208
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-6186
(319) 384-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28447
IA
207RI0200X
Infectious Disease Physician
Primary
28447
IA
207XX0801X
Orthopaedic Trauma Physician
28477
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1078501
—
IA
01
—
22520
WELLMARK BCBS
IA
Enumeration date
12/09/2005
Last updated
12/18/2007
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