Shankar, Prithvi Nambalat
Shankar, Prithvi Nambalat is an individual health care provider with primary practice located at 400 E Orangeburg Ave Ste 3, Modesto CA 95350-5342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shankar, Prithvi Nambalat can be contacted via phone (209) 578-1600.Contact Information
Primary practice address
400 E Orangeburg Ave Ste 3
Modesto CA 95350-5342
Phone: (209) 578-1600
Fax: (209) 578-1088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A92177 | California |
Profile Details
| NPI number | 1790772838 |
|---|---|
| LBN Legal business name | Shankar, Prithvi Nambalat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jan 21st, 2014 - about 11 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 | 1790772838 | NPPES |
| California | Other | P00266668 | RAILROAD MEDICARE |
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