Shirodkar, Pradeep S
Shirodkar, Pradeep S is an sole proprietor health care provider with primary practice located at 11937 Us Highway 271 , Tyler TX 75708-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shirodkar, Pradeep S can be contacted via phone (903) 877-3451.Contact Information
Primary practice address
11937 Us Highway 271
Tyler TX 75708-3154
Phone: (903) 877-3451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K1929 | Texas |
Profile Details
| NPI number | 1598747289 |
|---|---|
| LBN Legal business name | Shirodkar, Pradeep S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Jun 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598747289 | NPPES |
| Texas | MEDICAID | 104444801 |
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