Kothari, Shanu Nikhil

Kothari, Shanu Nikhil is an individual health care provider with primary practice located at 905 Verdae Blvd Ste 202 , Greenville SC 29607-4029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kothari, Shanu Nikhil can be contacted via phone (864) 676-1072.

Contact Information

Primary practice address
905 Verdae Blvd Ste 202 Greenville SC 29607-4029
Phone: (864) 676-1072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38040 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 83043 South Carolina

Profile Details

NPI number 1063418366
LBN Legal business name Kothari, Shanu Nikhil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated May 20th, 2021 - about 4 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 1063418366 NPPES
South Carolina MEDICAID 830435
South Carolina MEDICAID 34104200

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