Shandilya, Loknath

Shandilya, Loknath is an individual health care provider with primary practice located at 95 Medical Park Blvd , Petersburg VA 23805-9280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shandilya, Loknath can be contacted via phone (804) 450-3650.

Contact Information

Primary practice address
95 Medical Park Blvd Petersburg VA 23805-9280
Phone: (804) 450-3650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101053136 Virginia

Profile Details

NPI number 1114960846
LBN Legal business name Shandilya, Loknath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jun 23rd, 2016 - about 10 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 1114960846 NPPES
Virginia Other 453261 BC/BS PROVIDER #
Virginia MEDICAID 005862884 BC/BS PROVIDER #

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