Munagala, Shailaja
Munagala, Shailaja is an sole proprietor health care provider with primary practice located at 1910 Alabama Street , Sturgeon Bay WI 54235-3532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Munagala, Shailaja can be contacted via phone (920) 530-3502.Contact Information
Primary practice address
1910 Alabama Street
Sturgeon Bay WI 54235-3532
Phone: (920) 530-3502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5643020 | Wisconsin |
Profile Details
| NPI number | 1538470604 |
|---|---|
| LBN Legal business name | Munagala, Shailaja |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Oct 15th, 2012 - about 14 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 | 1538470604 | NPPES |
| Wisconsin | MEDICAID | 1538470604 |
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