Individual
TASHA C. SHAMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8595 PICARDY AVE, STE 100, BATON ROUGE, LA 70809-3674
(225) 763-4900
(225) 763-4938
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
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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