Gowda, Shashikala Basav

Gowda, Shashikala Basav is an individual health care provider with primary practice located at 22201 Moross Rd Ste 252 , Detroit MI 48236-2175. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Gowda, Shashikala Basav can be contacted via phone (313) 343-3809.

Contact Information

Primary practice address
22201 Moross Rd Ste 252 Detroit MI 48236-2175
Phone: (313) 343-3809
Fax: (313) 417-0560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 57030228 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 4301506494 Michigan

Profile Details

NPI number 1801311956
LBN Legal business name Gowda, Shashikala Basav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2017
Last updated Jul 21st, 2022 - about 2 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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