Provider Demographics
NPI:1881920759
Name:SHIELA RHOADS, M.D., PLLC
Entity type:Organization
Organization Name:SHIELA RHOADS, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHIELA
Authorized Official - Middle Name:I
Authorized Official - Last Name:RHOADS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-895-0882
Mailing Address - Street 1:4001 KRESGE WAY
Mailing Address - Street 2:SUITE 134
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4640
Mailing Address - Country:US
Mailing Address - Phone:502-895-0882
Mailing Address - Fax:502-895-1354
Practice Address - Street 1:1023 NEW MOODY LN
Practice Address - Street 2:SUITE 202 A
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-9177
Practice Address - Country:US
Practice Address - Phone:502-222-3324
Practice Address - Fax:502-895-1354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty