Shivaprakash, Vajreshwari
Shivaprakash, Vajreshwari is an individual health care provider with primary practice located at 2525 Cumberland Parkway , Atlanta GA 30339. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Shivaprakash, Vajreshwari can be contacted via phone (404) 606-0122.Contact Information
Primary practice address
2525 Cumberland Parkway
Atlanta GA 30339
Phone: (404) 606-0122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 052095 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 052095 | Georgia |
Profile Details
| NPI number | 1396770806 |
|---|---|
| LBN Legal business name | Shivaprakash, Vajreshwari |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Feb 9th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396770806 | NPPES |
| Georgia | MEDICAID | 387753465A |
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