Shastry, Manjali Sushil
Shastry, Manjali Sushil is an sole proprietor health care provider with primary practice located at 1787 S M 52 , Owosso MI 48867-9201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shastry, Manjali Sushil can be contacted via phone (989) 729-4600.Contact Information
Primary practice address
1787 S M 52
Owosso MI 48867-9201
Phone: (989) 729-4600
Fax: (989) 725-5760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301069446 | Michigan |
Profile Details
| NPI number | 1801990254 |
|---|---|
| LBN Legal business name | Shastry, Manjali Sushil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Mar 26th, 2024 - about 2 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 | 1801990254 | NPPES |
| Michigan | MEDICAID | 4552316 |
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