Edalur, Shylashree Chikkamuniyappa
Edalur, Shylashree Chikkamuniyappa is an individual health care provider with primary practice located at 1026 Riverwood Dr , Longview TX 75604-6229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Edalur, Shylashree Chikkamuniyappa can be contacted via phone (903) 239-3862.Contact Information
Primary practice address
1026 Riverwood Dr
Longview TX 75604-6229
Phone: (903) 239-3862
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | M3188 | Texas |
Profile Details
| NPI number | 1609981174 |
|---|---|
| LBN Legal business name | Edalur, Shylashree Chikkamuniyappa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Dec 22nd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609981174 | NPPES |
| Texas | Other | M3188 | PHYSICIAN PERMIT |
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