Nallamothu, Shivajee V
Nallamothu, Shivajee V is an individual health care provider with primary practice located at 5701 Bow Pointe Dr Suite 300, Clarkston MI 48346-3198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nallamothu, Shivajee V can be contacted via phone (248) 620-2325.Contact Information
Primary practice address
5701 Bow Pointe Dr Suite 300
Clarkston MI 48346-3198
Phone: (248) 620-2325
Fax: (248) 620-2326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101012532 | Michigan |
Profile Details
| NPI number | 1720058100 |
|---|---|
| LBN Legal business name | Nallamothu, Shivajee V |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 10th, 2015 - about 9 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 | 1720058100 | NPPES |
| Michigan | MEDICAID | 4471209 |
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