Mendu, Shoba P
Mendu, Shoba P is an individual health care provider with primary practice located at 112 Gainsborough Sq Suite 200, Chesapeake VA 23320-1706. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Mendu, Shoba P can be contacted via phone (757) 547-0798.Contact Information
Primary practice address
112 Gainsborough Sq Suite 200
Chesapeake VA 23320-1706
Phone: (757) 547-0798
Fax: (757) 547-0145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301083844 | Michigan |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | N0971 | Texas |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0101247608 | Virginia |
Profile Details
| NPI number | 1952522161 |
|---|---|
| LBN Legal business name | Mendu, Shoba P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Aug 9th, 2010 - about 14 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 | 1952522161 | NPPES |
| Virginia | MEDICAID | 1952522161 |
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