Athimulam, Shobana

Athimulam, Shobana is an individual health care provider with primary practice located at 3031 W Grand Bvld, Suite 800, Detroit MI 48202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Athimulam, Shobana can be contacted via phone (313) 916-9100.

Contact Information

Primary practice address
3031 W Grand Bvld, Suite 800 Detroit MI 48202
Phone: (313) 916-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301105684 Michigan
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 61739 Minnesota
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301501969 Michigan

Profile Details

NPI number 1467865568
LBN Legal business name Athimulam, Shobana
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2014
Last updated Jun 29th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467865568 NPPES
Michigan Other 1467865568 NPI

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