Provider Demographics
NPI:1326071127
Name:KAMATH, SHEELA S (DO)
Entity Type:Individual
Prefix:
First Name:SHEELA
Middle Name:S
Last Name:KAMATH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4355 FERGUSON DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-5136
Mailing Address - Country:US
Mailing Address - Phone:513-943-3680
Mailing Address - Fax:513-943-3699
Practice Address - Street 1:4355 FERGUSON DR
Practice Address - Street 2:SUITE 270
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-5136
Practice Address - Country:US
Practice Address - Phone:513-943-3680
Practice Address - Fax:513-943-3699
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-007794207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G58101Medicare UPIN