Individual
DR. SHIMA GHAVIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 S HACKETT RD, WATERLOO, IA 50701
(319) 234-5990
Mailing address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 234-5990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10563700
NJ
207R00000X
Internal Medicine Physician
29355
WV
207RG0100X
Gastroenterology Physician
25MA10563700
NJ
207RG0100X
Gastroenterology Physician
29355
WV
207RG0100X
Gastroenterology Physician
Primary
MD-50743
IA
207RI0008X
Hepatology Physician
29355
WV
207RI0008X
Hepatology Physician
MD-50743
IA
390200000X
Student in an Organized Health Care Education/Training Program
25MA10563700
NJ
Other
Enumeration date
04/10/2014
Last updated
08/23/2023
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