Shastri, Subramaniam R
Shastri, Subramaniam R is an individual health care provider with primary practice located at 3950 Hollywood Rd Suite 270, Saint Joseph MI 49085-9159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shastri, Subramaniam R can be contacted via phone (269) 982-7840.Contact Information
Primary practice address
3950 Hollywood Rd Suite 270
Saint Joseph MI 49085-9159
Phone: (269) 982-7840
Fax: (269) 982-7843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | SS036858 | Michigan |
Profile Details
| NPI number | 1821057183 |
|---|---|
| LBN Legal business name | Shastri, Subramaniam R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Feb 9th, 2015 - about 10 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 | 1821057183 | NPPES |
| Michigan | Other | 290012718 | RAIL ROAD MEDICARE |
| Michigan | Other | 0A110280 | RAIL ROAD MEDICARE |
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