Theivanayagam, Shoba
Theivanayagam, Shoba is an individual health care provider with primary practice located at 812 W Oak St , Kissimmee FL 34741-6625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Theivanayagam, Shoba can be contacted via phone (407) 201-3686.Contact Information
Primary practice address
812 W Oak St
Kissimmee FL 34741-6625
Phone: (407) 201-3686
Fax: (407) 201-3739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME148442 | Florida |
Profile Details
| NPI number | 1730388067 |
|---|---|
| LBN Legal business name | Theivanayagam, Shoba |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Oct 27th, 2021 - about 4 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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