Bodana, Shirisha
Bodana, Shirisha is an individual health care provider with primary practice located at 1514 Jefferson Highway , New Orleans LA 70121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Bodana, Shirisha can be contacted via phone (504) 842-4000.Contact Information
Primary practice address
1514 Jefferson Highway
New Orleans LA 70121
Phone: (504) 842-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 58001180 | Ohio |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | DO.000149 | Louisiana |
Profile Details
| NPI number | 1770794067 |
|---|---|
| LBN Legal business name | Bodana, Shirisha |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Jun 11th, 2010 - about 15 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 | 1770794067 | NPPES |
| Mississippi | MEDICAID | 00729751 | |
| Mississippi | MEDICAID | 1318361 |
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