Shantha, Devendra T

Shantha, Devendra T is an sole proprietor health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Shantha, Devendra T can be contacted via phone (864) 560-6122.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Fax: (864) 560-6276
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19132 South Carolina

Profile Details

NPI number 1346237013
LBN Legal business name Shantha, Devendra T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Oct 25th, 2023 - about last year

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 1346237013 NPPES
South Carolina MEDICAID 191321

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