Manchanda, Shaveta
Manchanda, Shaveta is an individual health care provider with primary practice located at 2115 S Fremont Ave Suite 3000, Springfield MO 65804-2239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Manchanda, Shaveta can be contacted via phone (417) 820-9123.Contact Information
Primary practice address
2115 S Fremont Ave Suite 3000
Springfield MO 65804-2239
Phone: (417) 820-9123
Fax: (417) 820-3935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2008029018 | Missouri |
Profile Details
| NPI number | 1235354259 |
|---|---|
| LBN Legal business name | Manchanda, Shaveta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jun 18th, 2009 - about 15 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 | 1235354259 | NPPES |
| Missouri | MEDICAID | 1235354259 | |
| Missouri | MEDICAID | 176933001 | |
| Missouri | Other | 431560263 |
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