Shreevatsa, Ajai

Shreevatsa, Ajai is an individual health care provider with primary practice located at 2700 Wayne Memorial Dr , Goldsboro NC 27534-9494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shreevatsa, Ajai can be contacted via phone (919) 736-1110.

Contact Information

Primary practice address
2700 Wayne Memorial Dr Goldsboro NC 27534-9494
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2014-01417 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 89029 Ohio

Profile Details

NPI number 1760549240
LBN Legal business name Shreevatsa, Ajai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated May 4th, 2022 - about 2 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 1760549240 NPPES
Ohio Other 000000506289 ANTHEM
Ohio Other 745494 ANTHEM
Ohio Other 415034 ANTHEM
Ohio MEDICAID 1760549240 ANTHEM
Ohio Other P00385142 ANTHEM
Ohio Other 7937887 ANTHEM
Ohio Other 000000218191 ANTHEM
Ohio MEDICAID 2720621 ANTHEM

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