Gowda, Shashikumar R
Gowda, Shashikumar R is an individual health care provider with primary practice located at 1429 N 6Th St , Terre Haute IN 47807-1037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gowda, Shashikumar R can be contacted via phone (812) 242-3109.Contact Information
Primary practice address
1429 N 6Th St
Terre Haute IN 47807-1037
Phone: (812) 242-3109
Fax: (812) 242-3990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01045040A | Indiana |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 36091244 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01045040A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 36091244 | Illinois |
Profile Details
| NPI number | 1922116672 |
|---|---|
| LBN Legal business name | Gowda, Shashikumar R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Mar 14th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922116672 | NPPES |
| Illinois | Other | P01053285 | RAILROAD MEDICARE |
| Illinois | MEDICAID | 200111360S | RAILROAD MEDICARE |
| Illinois | MEDICAID | 200111360X | RAILROAD MEDICARE |
| Illinois | MEDICAID | 200111360O | RAILROAD MEDICARE |
| Illinois | MEDICAID | 200111360 | RAILROAD MEDICARE |
| Illinois | Other | P00834961 | RAILROAD MEDICARE |
| Illinois | Other | 000000226195 | RAILROAD MEDICARE |
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