Mahajan, Shrirang
Mahajan, Shrirang is an individual health care provider with primary practice located at 14070 Commerce Ave Ne Ste 100 , Prior Lake MN 55372-1424. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mahajan, Shrirang can be contacted via phone (952) 461-4646.Contact Information
Primary practice address
14070 Commerce Ave Ne Ste 100
Prior Lake MN 55372-1424
Phone: (952) 461-4646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11987 | Minnesota |
Profile Details
| NPI number | 1518056704 |
|---|---|
| LBN Legal business name | Mahajan, Shrirang |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1518056704 | NPPES |
| Minnesota | Other | D11987 | DELTA |
| Minnesota | Other | D11987 | DELTA |
| Minnesota | MEDICAID | 193437600 | DELTA |
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