Mitra Shams, MD

NPI #1043310329 in Prospect, Kentucky

Provider Information

NPI Number: 1043310329
Entity Type: Individual
Name: Mitra Shams, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 25, 2006
Last Updated: Nov 29, 2012

Practice Location

Address: 6041 TIMBER RIDGE DR
City: Prospect
State: Kentucky
ZIP Code: 40059-8134
Phone: (502) 228-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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