Srikantan, Shoba
Srikantan, Shoba is an individual health care provider with primary practice located at 1033 Dr Martin Luther King Jr St N Suite 108, St Petersburg FL 33701-1547. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Srikantan, Shoba can be contacted via phone (727) 456-4250.Contact Information
Primary practice address
1033 Dr Martin Luther King Jr St N Suite 108
St Petersburg FL 33701-1547
Phone: (727) 456-4250
Fax: (727) 346-1044
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ME90295 | Florida |
Profile Details
NPI number | 1558478289 |
---|---|
LBN Legal business name | Srikantan, Shoba |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2006 |
Last updated | Feb 3rd, 2010 - about 14 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 | 1558478289 | NPPES |
Florida | MEDICAID | 269933800 | |
Florida | Other | 43152X |
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