Shashidhara, Malery

Shashidhara, Malery is an individual health care provider with primary practice located at 250 2Nd St E Ste 3E, Bradenton FL 34208-1029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shashidhara, Malery can be contacted via phone (941) 748-2417.

Contact Information

Primary practice address
250 2Nd St E Ste 3E Bradenton FL 34208-1029
Phone: (941) 748-2417
Fax: (941) 748-3694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0041924 Florida

Profile Details

NPI number 1649263872
LBN Legal business name Shashidhara, Malery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1649263872 NPPES
Florida Other 79772 BLUE CROSS BLUE SHIELD
Florida Other 656482 BLUE CROSS BLUE SHIELD
Florida Other 2905130 BLUE CROSS BLUE SHIELD
Florida Other 4259049 BLUE CROSS BLUE SHIELD

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