Maryala, Shashi Keerthan

Maryala, Shashi Keerthan is an individual health care provider with primary practice located at 751 N Rutledge St , Springfield IL 62702-4968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Maryala, Shashi Keerthan can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
751 N Rutledge St Springfield IL 62702-4968
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 125080004 Illinois

Profile Details

NPI number 1881327393
LBN Legal business name Maryala, Shashi Keerthan
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2022
Last updated Jul 3rd, 2022 - about 4 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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