Ratnam, Angela Shanthini
Ratnam, Angela Shanthini is an sole proprietor health care provider with primary practice located at 1245 E Southern Ave Ste 12, Mesa AZ 85204-5137. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Ratnam, Angela Shanthini can be contacted via phone (480) 610-6544.Contact Information
Primary practice address
1245 E Southern Ave Ste 12
Mesa AZ 85204-5137
Phone: (480) 610-6544
Fax: (480) 633-0670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D5589 | Arizona |
Profile Details
| NPI number | 1891888772 |
|---|---|
| LBN Legal business name | Ratnam, Angela Shanthini |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1891888772 | NPPES |
| Arizona | MEDICAID | 687014 |
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