Srinivasan, Shashi K
Srinivasan, Shashi K is an individual health care provider with primary practice located at 2441 Grear St Ne , Salem OR 97301-2749. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Srinivasan, Shashi K can be contacted via phone (503) 588-0469.Contact Information
Primary practice address
2441 Grear St Ne
Salem OR 97301-2749
Phone: (503) 588-0469
Fax: (402) 559-9840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21603 | Nebraska |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD26977 | Nebraska |
Profile Details
| NPI number | 1992755813 |
|---|---|
| LBN Legal business name | Srinivasan, Shashi K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1992755813 | NPPES |
| Nebraska | MEDICAID | 47078557521 |
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