Khosla, Shiv Simrun

Khosla, Shiv Simrun is an sole proprietor health care provider with primary practice located at 508 Fulton St Durham Va Medical Center, Box 182, Durham NC 27705-3875. He 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 / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Khosla, Shiv Simrun can be contacted via phone (919) 286-0411.

Contact Information

Primary practice address
508 Fulton St Durham Va Medical Center, Box 182 Durham NC 27705-3875
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 245024 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 190108 North Carolina

Profile Details

NPI number 1982916383
LBN Legal business name Khosla, Shiv Simrun
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2010
Last updated Jul 29th, 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.

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