Shreedhar, Rakesh

Shreedhar, Rakesh is an sole proprietor health care provider with primary practice located at 10 Liberty Square , Stony Point NY 10980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shreedhar, Rakesh can be contacted via phone (845) 942-0228.

Contact Information

Primary practice address
10 Liberty Square Stony Point NY 10980
Fax: (845) 942-1519
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 169924 New York

Profile Details

NPI number 1366403339
LBN Legal business name Shreedhar, Rakesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Sep 30th, 2015 - about 9 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 1366403339 NPPES
New York MEDICAID 01143228

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