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
Phone: (937) 832-5292
Fax: (937) 832-7505
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104872779 | NPPES |
| Ohio | MEDICAID | 2600733 |
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