Jawalekar, Kshama
Jawalekar, Kshama is an sole proprietor health care provider with primary practice located at 150 E Ponce De Leon Ave Suite 120, Decatur GA 30030-2543. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Jawalekar, Kshama can be contacted via phone (800) 998-5859.Contact Information
Primary practice address
150 E Ponce De Leon Ave Suite 120
Decatur GA 30030-2543
Phone: (800) 998-5859
Fax: (404) 378-7460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2008016361 | Missouri |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 12836 | West Virginia |
Profile Details
| NPI number | 1407989742 |
|---|---|
| LBN Legal business name | Jawalekar, Kshama |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Sep 22nd, 2010 - about 16 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 | 1407989742 | NPPES |
| Missouri | Other | P00817807 | RAILROAD MEDICARE-CB9013 |
| Missouri | MEDICAID | 1407989742 | RAILROAD MEDICARE-CB9013 |
| Missouri | Other | 431560263 | RAILROAD MEDICARE-CB9013 |
| Missouri | MEDICAID | 176697001 | RAILROAD MEDICARE-CB9013 |
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