Edalur, Shylashree Chikkamuniyappa

Edalur, Shylashree Chikkamuniyappa is an individual health care provider with primary practice located at 1026 Riverwood Dr , Longview TX 75604-6229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Edalur, Shylashree Chikkamuniyappa can be contacted via phone (903) 239-3862.

Contact Information

Primary practice address
1026 Riverwood Dr Longview TX 75604-6229
Phone: (903) 239-3862
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M3188 Texas

Profile Details

NPI number 1609981174
LBN Legal business name Edalur, Shylashree Chikkamuniyappa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 22nd, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609981174 NPPES
Texas Other M3188 PHYSICIAN PERMIT

Popular Providers