Ameneni, Shashikala
Ameneni, Shashikala is an individual health care provider with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Ameneni, Shashikala can be contacted via phone (480) 648-7895.Contact Information
Primary practice address
1400 S Dobson Rd
Mesa AZ 85202-4707
Phone: (480) 648-7895
Fax: (480) 648-7895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 30598 | Arizona |
Profile Details
| NPI number | 1346229895 |
|---|---|
| LBN Legal business name | Ameneni, Shashikala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jan 10th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346229895 | NPPES |
| Arizona | MEDICAID | 724593 | |
| Arizona | MEDICAID | 2996281 |
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