Wani, Shobha R

Wani, Shobha R is an individual health care provider with primary practice located at 3075 Governors Place Blvd Suite 110, Dayton OH 45409-1323. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Wani, Shobha R can be contacted via phone (937) 296-0015.

Contact Information

Primary practice address
3075 Governors Place Blvd Suite 110 Dayton OH 45409-1323
Fax: (937) 296-0074
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35076738 Ohio

Profile Details

NPI number 1184762122
LBN Legal business name Wani, Shobha R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184762122 NPPES
Ohio MEDICAID 4025173

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