Provider Demographics
NPI:1740415405
Name:RAMIREZ-RODRIGUEZ, SHEILA PAOLA (MD)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:PAOLA
Last Name:RAMIREZ-RODRIGUEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 N TENNESSEE AVE STE 110A
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-9401
Mailing Address - Country:US
Mailing Address - Phone:304-260-1436
Mailing Address - Fax:304-260-1437
Practice Address - Street 1:307 MEDICAL CT
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-2843
Practice Address - Country:US
Practice Address - Phone:304-260-1436
Practice Address - Fax:304-260-1437
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV24385207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810021207Medicaid
WV3810021207Medicaid
WVWV0490B987Medicare PIN