Shankaran, Vidya
Shankaran, Vidya is an individual health care provider with primary practice located at 340 W Lincoln St Ste 500, Belleville IL 62220-1900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Shankaran, Vidya can be contacted via phone (618) 277-7400.Contact Information
Primary practice address
340 W Lincoln St Ste 500
Belleville IL 62220-1900
Phone: (618) 277-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 20106 | New Hampshire |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 125050724 | Illinois |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036134925 | Illinois |
Profile Details
| NPI number | 1528214624 |
|---|---|
| LBN Legal business name | Shankaran, Vidya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2008 |
| Last updated | Nov 22nd, 2019 - about 7 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 | 1528214624 | NPPES |
| Illinois | Other | 036134925 | ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION |
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