Hiremagalur, Shobha R.
Hiremagalur, Shobha R. is an individual health care provider with primary practice located at 310 N State Of Franklin Rd Suite 400, Johnson City TN 37604-6008. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Hiremagalur, Shobha R. can be contacted via phone (423) 979-6000.Contact Information
Primary practice address
310 N State Of Franklin Rd Suite 400
Johnson City TN 37604-6008
Phone: (423) 979-6000
Fax: (423) 979-6011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD24677 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24677 | Tennessee |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 24677 | Tennessee |
Profile Details
| NPI number | 1407841398 |
|---|---|
| LBN Legal business name | Hiremagalur, Shobha R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Feb 9th, 2017 - about 7 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 | 1407841398 | NPPES |
| Tennessee | Other | P01368158 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 3086995 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 1407841398 | RAILROAD MEDICARE |
| Tennessee | MEDICAID | 64001035 | RAILROAD MEDICARE |
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