Shastry, Shubha

Shastry, Shubha is an individual health care provider with primary practice located at 370 E Ridge Rd , Rochester NY 14621-1240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Shastry, Shubha can be contacted via phone (585) 922-0400.

Contact Information

Primary practice address
370 E Ridge Rd Rochester NY 14621-1240
Phone: (585) 922-0400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 267196 New York

Profile Details

NPI number 1124387048
LBN Legal business name Shastry, Shubha
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2012
Last updated Jan 7th, 2014 - about 12 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 1124387048 NPPES
New York MEDICAID 03725091
New York MEDICAID 01131126/RGH

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