Dhiman, Shamly Venus
Dhiman, Shamly Venus is an individual health care provider with primary practice located at 1721 Ebenezer Rd Suite 175, Rock Hill SC 29732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Dhiman, Shamly Venus can be contacted via phone (803) 324-5256.Contact Information
Primary practice address
1721 Ebenezer Rd Suite 175
Rock Hill SC 29732
Phone: (803) 324-5256
Fax: (803) 328-0440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 40388 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 244029 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 437022 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2011-00725 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 33450 | South Carolina |
Profile Details
| NPI number | 1245449354 |
|---|---|
| LBN Legal business name | Dhiman, Shamly Venus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1245449354 | NPPES |
| Tennessee | Other | 40388 | MEDICAL LICENSE |
| Tennessee | MEDICAID | 02878908 | MEDICAL LICENSE |
| Tennessee | Other | 2011-00725 | MEDICAL LICENSE |
| Tennessee | Other | 33450 | MEDICAL LICENSE |
| Tennessee | Other | 244029 | MEDICAL LICENSE |
| Tennessee | MEDICAID | 334506 | MEDICAL LICENSE |
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