Individual
DR. HEEMA KUMUD SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1202 E BUTLER RD, GREENVILLE, SC 29607-5910
(864) 627-3800
(864) 672-2654
Mailing address
1202 E BUTLER RD, GREENVILLE, SC 29607-5910
(864) 627-3800
(864) 672-2654
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
93608
SC
208000000X
Pediatrics Physician
5115
TN
Other
Enumeration date
04/05/2020
Last updated
06/15/2025
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