Khetan, Shishir Kumar
Khetan, Shishir Kumar is an individual health care provider with primary practice located at 1201 Seven Locks Rd Ste 111, Rockville MD 20854-2957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khetan, Shishir Kumar can be contacted via phone (301) 762-5020.Contact Information
Primary practice address
1201 Seven Locks Rd Ste 111
Rockville MD 20854-2957
Phone: (301) 762-5020
Fax: (301) 294-7569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME148198 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0061630 | Maryland |
Profile Details
| NPI number | 1861497372 |
|---|---|
| LBN Legal business name | Khetan, Shishir Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jan 29th, 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 | 1861497372 | NPPES |
| Maryland | MEDICAID | 416410500 | |
| Maryland | Other | PENDING |
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