Dr Heema Kumud Shah, DO | |
1202 E Butler Rd, Greenville, SC 29607-5910 | |
(864) 627-3800 | |
(864) 672-2654 |
Full Name | Dr Heema Kumud Shah |
---|---|
Gender | Female |
Speciality | Allergy & Immunology |
Location | 1202 E Butler Rd, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770112435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5115 (Tennessee) | Secondary |
207K00000X | Allergy & Immunology | 93608 (South Carolina) | Primary |
Entity Name | Ut Lebonheur Pediatric Specialists, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093024101 PECOS PAC ID: 7719173939 Enrollment ID: O20101130000117 |
Mailing Address | Practice Location Address |
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Dr Heema Kumud Shah, DO 1202 E Butler Rd, Greenville, SC 29607-5910 Ph: (864) 627-3800 | Dr Heema Kumud Shah, DO 1202 E Butler Rd, Greenville, SC 29607-5910 Ph: (864) 627-3800 |
Reid F Johnstone, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Dr. Fred Leffert, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 130 Mallard St, Greenville, SC 29601 Phone: 864-233-1534 Fax: 864-751-6020 | |
Douglas Thomas Johnston, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste A140, Greenville, SC 29615 Phone: 864-454-5125 Fax: 864-241-9201 | |
Thomas L Tiller Jr., M. D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Mrs. Shanna Elizabeth Cowan, MS PAC Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1202 E Butler Rd, Greenville, SC 29607 Phone: 864-627-3800 Fax: 864-672-2653 | |
Andrea Brooks Lantz, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 48 Creekview Ct, Greenville, SC 29615 Phone: 864-458-7431 Fax: 864-458-7463 | |
Shiven S Patel, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 10 Halton Green Way, Greenville, SC 29607 Phone: 864-675-5000 Fax: 864-675-5005 |