Individual
SHAMA A AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 W HIGH ST, SUITE 307, LIMA, OH 45801-3971
(419) 226-9694
(419) 226-9279
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35042953A
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
35042953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317845
BCBS
OH
01
—
000000317845
BCBS
—
05
—
0384098
—
OH
Enumeration date
05/25/2006
Last updated
09/18/2013
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