Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 172137 | NC |
N | 111NI0900X | Internist | 172137 | NC |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0102204740 | VA |
NPI | 1063703155 |
---|---|
Provider Name | Maitri Shelly Kalia-Reynolds |
First Address | Findlay, OH 45840-1343 |
Second Address | Findlay, OH 45840-1343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2011 |
Last Update Date | 19/10/2020 |