Provider Demographics
NPI:1558927384
Name:REGMI, SHAMA (ND)
Entity Type:Individual
Prefix:
First Name:SHAMA
Middle Name:
Last Name:REGMI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 S WHITE AVE UNIT 12
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-4450
Mailing Address - Country:US
Mailing Address - Phone:503-422-0571
Mailing Address - Fax:
Practice Address - Street 1:425 UNIVERSITY AVE STE 221
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6509
Practice Address - Country:US
Practice Address - Phone:916-631-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1066175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty