Shankaran, Vidya

Shankaran, Vidya is an individual health care provider with primary practice located at 340 W Lincoln St Ste 500, Belleville IL 62220-1900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Shankaran, Vidya can be contacted via phone (618) 277-7400.

Contact Information

Primary practice address
340 W Lincoln St Ste 500 Belleville IL 62220-1900
Phone: (618) 277-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 20106 New Hampshire
Allopathic & Osteopathic Physicians / Surgery 208600000X 125050724 Illinois
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036134925 Illinois

Profile Details

NPI number 1528214624
LBN Legal business name Shankaran, Vidya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Nov 22nd, 2019 - about 5 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 1528214624 NPPES
Illinois Other 036134925 ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION

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