Individual
TASHA C. SHAMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
025910
LA
208000000X
Pediatrics Physician
Primary
025910
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110243988
RAILROAD MEDICARE
—
05
—
1136344L
—
LA
Enumeration date
06/27/2005
Last updated
10/21/2020
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