Provider Demographics
NPI:1124239116
Name:SHIRKA, ROMINA (DO)
Entity type:Individual
Prefix:DR
First Name:ROMINA
Middle Name:
Last Name:SHIRKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:336 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1844
Mailing Address - Country:US
Mailing Address - Phone:615-346-8182
Mailing Address - Fax:615-829-8970
Practice Address - Street 1:102 APPIA PL
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-2576
Practice Address - Country:US
Practice Address - Phone:615-346-8182
Practice Address - Fax:615-829-8970
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A126682084N0400X
CT523872084N0400X
AZ61032084N0400X
NY26036712084N0400X
MDH00768472084N0400X
TN25532084N0400X
WAOP603973452084N0400X
FLOS125372084N0400X
NMA1776132084N0400X
MN18182084N0400X
TXT54582084N0400X
NVDO17552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology