Shivanand, Bharathi

Shivanand, Bharathi is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3536. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Shivanand, Bharathi can be contacted via phone (315) 476-7921.

Contact Information

Primary practice address
819 S Salina St Syracuse NY 13202-3536
Fax: (315) 474-1448
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 043754 New York

Profile Details

NPI number 1548222631
LBN Legal business name Shivanand, Bharathi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Apr 5th, 2016 - about 8 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 1548222631 NPPES
New York MEDICAID 01274666

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