Shanthakumar, Prashan
Shanthakumar, Prashan is an sole proprietor health care provider with primary practice located at 13733 N Prasada Pkwy Ste 108 , Surprise AZ 85388-8014. 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 / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Shanthakumar, Prashan can be contacted via phone (623) 777-3329.Contact Information
Primary practice address
13733 N Prasada Pkwy Ste 108
Surprise AZ 85388-8014
Phone: (623) 777-3329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Periodontics | 1223P0300X | D011814 | Arizona |
Profile Details
| NPI number | 1215593868 |
|---|---|
| LBN Legal business name | Shanthakumar, Prashan |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2019 |
| Last updated | Aug 17th, 2023 - about 3 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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