Provider Demographics
NPI:1003866385
Name:SHMALO, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:SHMALO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:373 MERIDIAN PARKE LN
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-9420
Mailing Address - Country:US
Mailing Address - Phone:317-882-0136
Mailing Address - Fax:317-882-3123
Practice Address - Street 1:373 MERIDIAN PARKE LN
Practice Address - Street 2:SUITE C-1
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-9420
Practice Address - Country:US
Practice Address - Phone:317-882-0136
Practice Address - Fax:317-882-3123
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01060803A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics