Kanneganti, Shalini Rao

Kanneganti, Shalini Rao is an individual health care provider with primary practice located at 3315 S 23Rd St Ste 200, Tacoma WA 98405-1605. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Kanneganti, Shalini Rao can be contacted via phone (253) 552-1200.

Contact Information

Primary practice address
3315 S 23Rd St Ste 200 Tacoma WA 98405-1605
Phone: (253) 552-1200
Fax: (253) 552-1239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 70957 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60297035 Washington
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD60297035 Washington

Profile Details

NPI number 1639326192
LBN Legal business name Kanneganti, Shalini Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Jan 18th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639326192 NPPES
Washington Other 0299319 STATE L&I
Washington Other 0299812 STATE L&I

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