Provider Demographics
NPI:1982861688
Name:LLANES-DIOPITA, SHEILA C (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:C
Last Name:LLANES-DIOPITA
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 1:6394 THORNBERRY CT
Mailing Address - Street 2:SUITE 820
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7810
Mailing Address - Country:US
Mailing Address - Phone:513-492-8541
Mailing Address - Fax:513-492-8542
Practice Address - Street 1:2241 ROMBACH AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-1995
Practice Address - Country:US
Practice Address - Phone:937-283-9910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.096923207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine