Choudhury, Shireen
Choudhury, Shireen is an sole proprietor health care provider with primary practice located at 2425 California St Ste D , Mountain View CA 94040-1462. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Choudhury, Shireen can be contacted via phone (650) 967-1389.Contact Information
Primary practice address
2425 California St Ste D
Mountain View CA 94040-1462
Phone: (650) 967-1389
Fax: (650) 938-6281
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 47058 | California |
Profile Details
NPI number | 1215089347 |
---|---|
LBN Legal business name | Choudhury, Shireen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 17th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1215089347 | NPPES |
California | MEDICAID | G93502-01 |
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