Individual
SHIELA ISAAC RHOADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1031 NEW MOODY LN, SUITE 200, LA GRANGE, KY 40031-9189
(502) 222-6008
(502) 225-9878
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 253-1035
(502) 253-1037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41339
KY
207RG0100X
Gastroenterology Physician
Primary
41339
KY
207RG0100X
Gastroenterology Physician
4301078487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100015910
—
KY
Enumeration date
06/25/2007
Last updated
06/12/2013
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