Pokharel, Shradha

Pokharel, Shradha is an individual health care provider with primary practice located at 2021 Kingsley Ave Suite 101, Orange Park FL 32073-5174. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Pokharel, Shradha can be contacted via phone (904) 298-2113.

Contact Information

Primary practice address
2021 Kingsley Ave Suite 101 Orange Park FL 32073-5174
Phone: (904) 298-2113
Fax: (904) 298-1922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME107854 Florida

Profile Details

NPI number 1114124112
LBN Legal business name Pokharel, Shradha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Oct 8th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114124112 NPPES
Georgia MEDICAID 003140199A
Georgia Other 149FM
Georgia MEDICAID 002671500

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