Devasthali, Shirish D

Devasthali, Shirish D is an individual health care provider with primary practice located at 6387 Ramsey St Suite 140, Fayetteville NC 28311-9441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Devasthali, Shirish D can be contacted via phone (910) 615-3829.

Contact Information

Primary practice address
6387 Ramsey St Suite 140 Fayetteville NC 28311-9441
Phone: (910) 615-3829
Fax: (910) 615-6216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 38929 North Carolina

Profile Details

NPI number 1851454995
LBN Legal business name Devasthali, Shirish D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 10th, 2014 - about 11 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 1851454995 NPPES
North Carolina Other 39131 MEDCOST
North Carolina Other 28386 MEDCOST
North Carolina MEDICAID 8928386 MEDCOST

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