Shanavas, Tharackandathil Ooran

Shanavas, Tharackandathil Ooran is an individual health care provider with primary practice located at 901 Kimole Ln Suite B-1, Adrian MI 49221-1491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Shanavas, Tharackandathil Ooran can be contacted via phone (517) 263-6733.

Contact Information

Primary practice address
901 Kimole Ln Suite B-1 Adrian MI 49221-1491
Phone: (517) 263-6733
Fax: (517) 263-7148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TS034422 Michigan

Profile Details

NPI number 1932158136
LBN Legal business name Shanavas, Tharackandathil Ooran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Dec 11th, 2012 - about 13 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 1932158136 NPPES
Michigan Other 350D676100 BLUE CROSS AND BLUE SHIEL
Michigan Other 18632 BLUE CROSS AND BLUE SHIEL
Michigan Other 5450691 BLUE CROSS AND BLUE SHIEL
Michigan Other 03744 BLUE CROSS AND BLUE SHIEL
Michigan MEDICAID 1099349 BLUE CROSS AND BLUE SHIEL
Michigan Other 115715 BLUE CROSS AND BLUE SHIEL
Michigan Other 119775 BLUE CROSS AND BLUE SHIEL

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