Basic Information
| Provider Information | |||||||||
| NPI: | 1265686273 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANCIS | ||||||||
| FirstName: | SHAMITHA | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FERRIS | ||||||||
| OtherFirstName: | SHAMITHA | ||||||||
| OtherMiddleName: | L | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 5969 E BROAD ST | ||||||||
| Address2: | MOUNT CARMEL EAST HOSPITAL, SOUND PHYSICIANS, SUITE 403 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432131546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142348138 | ||||||||
| FaxNumber: | 6142346511 | ||||||||
| Practice Location | |||||||||
| Address1: | 5969 E BROAD ST | ||||||||
| Address2: | MOUNT CARMEL EAST HOSPITAL, SOUND PHYSICIANS, SUITE 403 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432131546 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142348138 | ||||||||
| FaxNumber: | 6142346511 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2008 | ||||||||
| LastUpdateDate: | 08/15/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 096343 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.