Pracha, Shamsuddin C

Pracha, Shamsuddin C is an individual health care provider with primary practice located at 8881 N Main St , Dayton OH 45415-1333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Pracha, Shamsuddin C can be contacted via phone (937) 832-5292.

Contact Information

Primary practice address
8881 N Main St Dayton OH 45415-1333
Fax: (937) 832-7505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.078920 Ohio

Profile Details

NPI number 1104872779
LBN Legal business name Pracha, Shamsuddin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jan 5th, 2021 - about 3 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 1104872779 NPPES
Ohio MEDICAID 2600733

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