Vankipuram, Shobana Sampath
Vankipuram, Shobana Sampath is an individual health care provider with primary practice located at 907 San Ramon Valley Blvd Ste 104, Danville CA 94526-4036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vankipuram, Shobana Sampath can be contacted via phone (925) 837-1044.Contact Information
Primary practice address
907 San Ramon Valley Blvd Ste 104
Danville CA 94526-4036
Phone: (925) 837-1044
Fax: (925) 837-1055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MT-193076 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A116787 | California |
Profile Details
| NPI number | 1063646651 |
|---|---|
| LBN Legal business name | Vankipuram, Shobana Sampath |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2009 |
| Last updated | Nov 22nd, 2016 - about 8 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 | 1063646651 | NPPES |
| Pennsylvania | Other | MT-193076 | LICENSE |
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