Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0116026117 | VA |
N | 208000000X | Pediatrician | MD-48589 | IA |
Y | 2080P0216X | Pediatric Rheumatologist | MD-48589 | IA |
NPI | 1255770996 |
---|---|
Provider Name | Dr. Shima Yasin |
First Address | Falls Church, VA 22042-3307 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2013 |
Last Update Date | 16/09/2021 |