Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | OH35086170 | OH |
Y | 207RP1001X | Pulmonary Disease | 35086170 | OH |
NPI | 1083708358 |
---|---|
Provider Name | Mohammad A Sheatt |
First Address | Cincinnati, OH 45242-5220 |
Second Address | Cincinnati, OH 45242-5220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 25/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000370352 | ANTHEM (01) | |
2585519 | (05) | OH |
I32134 | (02) |