Ponnusamy, Shouvik

Ponnusamy, Shouvik is an sole proprietor health care provider with primary practice located at 4010 Sandy Brook Dr Ste 204 , Round Rock TX 78665-1518. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ponnusamy, Shouvik can be contacted via phone (512) 456-3161.

Contact Information

Primary practice address
4010 Sandy Brook Dr Ste 204 Round Rock TX 78665-1518
Phone: (512) 456-3161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 38050 Texas

Profile Details

NPI number 1457706202
LBN Legal business name Ponnusamy, Shouvik
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2016
Last updated Sep 23rd, 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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