Namjoshi, Kavita Shantanu
Namjoshi, Kavita Shantanu is an sole proprietor health care provider with primary practice located at 1860 Town Center Dr Ste 260, Reston VA 20190-5899. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Namjoshi, Kavita Shantanu can be contacted via phone (775) 123-1234.Contact Information
Primary practice address
1860 Town Center Dr Ste 260
Reston VA 20190-5899
Phone: (775) 123-1234
Fax: (703) 997-2627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00045994 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047932 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101245322 | Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 047932 | Connecticut |
Profile Details
| NPI number | 1508840380 |
|---|---|
| LBN Legal business name | Namjoshi, Kavita Shantanu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Oct 5th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508840380 | NPPES |
| Nevada | MEDICAID | 002016761 |
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