Nallamothu, Shivajee V

Nallamothu, Shivajee V is an individual health care provider with primary practice located at 5701 Bow Pointe Dr Suite 300, Clarkston MI 48346-3198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Nallamothu, Shivajee V can be contacted via phone (248) 620-2325.

Contact Information

Primary practice address
5701 Bow Pointe Dr Suite 300 Clarkston MI 48346-3198
Phone: (248) 620-2325
Fax: (248) 620-2326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101012532 Michigan

Profile Details

NPI number 1720058100
LBN Legal business name Nallamothu, Shivajee V
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Dec 10th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720058100 NPPES
Michigan MEDICAID 4471209

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