Manchegowda, Shashidhar
Manchegowda, Shashidhar is an individual health care provider with primary practice located at 4301 W Markham St # 515 , Little Rock AR 72205-7101. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Manchegowda, Shashidhar can be contacted via phone (501) 686-6114.Contact Information
Primary practice address
4301 W Markham St # 515
Little Rock AR 72205-7101
Phone: (501) 686-6114
Fax: (501) 686-8139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | E-15663 | Arkansas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E-15663 | Arkansas |
Profile Details
| NPI number | 1760034367 |
|---|---|
| LBN Legal business name | Manchegowda, Shashidhar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2019 |
| Last updated | Sep 29th, 2022 - about 3 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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