Provider Demographics
NPI:1871228312
Name:SHAMINA RAO, INC
Entity type:Organization
Organization Name:SHAMINA RAO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO-HEREL
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:917-743-6144
Mailing Address - Street 1:23 TEMPLE CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1211
Mailing Address - Country:US
Mailing Address - Phone:917-743-6144
Mailing Address - Fax:
Practice Address - Street 1:23 TEMPLE CT
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1211
Practice Address - Country:US
Practice Address - Phone:917-743-6144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty