Desilva, Shari Malini

Desilva, Shari Malini is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Desilva, Shari Malini can be contacted via phone (479) 636-0200.

Contact Information

Primary practice address
2710 S Rife Medical Ln Rogers AR 72758-1452
Phone: (479) 636-0200
Fax: (479) 986-3448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E4073 Arkansas

Profile Details

NPI number 1629035969
LBN Legal business name Desilva, Shari Malini
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Mar 29th, 2022 - about 3 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 1629035969 NPPES
Arkansas MEDICAID 154251001
Arkansas MEDICAID 200090702
Arkansas MEDICAID 200387820A
Arkansas Other P00328638
Arkansas Other 211129
Arkansas MEDICAID 200089280A

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