Basic Information
Provider Information
NPI: 1265852263
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHELHAMER
FirstName: JAMES
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ROOM 2C145 BLDG 10
Address2: NIH
City: BETHESDA
State: MD
PostalCode: 208920001
CountryCode: US
TelephoneNumber: 3014969320
FaxNumber: 3014021213
Practice Location
Address1: ROOM 2C145 BLDG 10
Address2: NIH
City: BETHESDA
State: MD
PostalCode: 208920001
CountryCode: US
TelephoneNumber: 3014969320
FaxNumber: 3014021213
Other Information
ProviderEnumerationDate: 04/17/2014
LastUpdateDate: 04/17/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMD25951DCY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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