Tharakan, Shelby
Tharakan, Shelby is an individual health care provider with primary practice located at 11912 94Th Ave Fl 1 , South Richmond Hill NY 11419-1332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tharakan, Shelby can be contacted via phone (718) 297-0440.Contact Information
Primary practice address
11912 94Th Ave Fl 1
South Richmond Hill NY 11419-1332
Phone: (718) 297-0440
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 344111 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F344111-1 | New York |
Profile Details
NPI number | 1194381020 |
---|---|
LBN Legal business name | Tharakan, Shelby |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2019 |
Last updated | Feb 20th, 2021 - about 3 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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