De Silva, Shayana Prabhodani
De Silva, Shayana Prabhodani is an individual health care provider with primary practice located at 1000 1St Dr Nw , Austin MN 55912-2941. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. De Silva, Shayana Prabhodani can be contacted via phone (507) 434-1092.Contact Information
Primary practice address
1000 1St Dr Nw
Austin MN 55912-2941
Phone: (507) 434-1092
Fax: (507) 434-1477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 45334 | Minnesota |
Profile Details
| NPI number | 1033194667 |
|---|---|
| LBN Legal business name | De Silva, Shayana Prabhodani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Sep 28th, 2020 - about 6 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 | 1033194667 | NPPES |
| Minnesota | Other | 370022552 | MEDICARE RAILROAD |
| Minnesota | MEDICAID | 871423100 | MEDICARE RAILROAD |
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