Provider Demographics
NPI:1043780810
Name:SHINRA, P.C.
Entity Type:Organization
Organization Name:SHINRA, P.C.
Other - Org Name:IOWA ALLERGY, ASTHMA, & IMMUNOLOGY P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:NAYIMA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:515-410-9400
Mailing Address - Street 1:5901 WESTOWN PKWY STE 225
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8297
Mailing Address - Country:US
Mailing Address - Phone:515-410-9400
Mailing Address - Fax:515-410-9401
Practice Address - Street 1:5901 WESTOWN PKWY STE 225
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8297
Practice Address - Country:US
Practice Address - Phone:515-410-9400
Practice Address - Fax:515-410-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DY8282OtherMEDICARE RR
IA0506870Medicaid
IAIB4258OtherMEDICARE IA