Shanmugam, Chamundambika
Shanmugam, Chamundambika is an sole proprietor health care provider with primary practice located at 520 S Van Buren Rd Suite 2, Eden NC 27288-5042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shanmugam, Chamundambika can be contacted via phone (336) 635-6809.Contact Information
Primary practice address
520 S Van Buren Rd Suite 2
Eden NC 27288-5042
Phone: (336) 635-6809
Fax: (336) 635-6862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036114856 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2012-01298 | North Carolina |
Profile Details
| NPI number | 1386603710 |
|---|---|
| LBN Legal business name | Shanmugam, Chamundambika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 6th, 2013 - 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 | 1386603710 | NPPES |
| Illinois | MEDICAID | 036114856 | |
| Illinois | Other | 174NH | |
| Illinois | MEDICAID | 5921210 |
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