Shivprasad, Mini Joseph

Shivprasad, Mini Joseph is an individual health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Suite 500, Gainesville GA 30501-3862. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Shivprasad, Mini Joseph can be contacted via phone (770) 536-9864.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Suite 500 Gainesville GA 30501-3862
Phone: (770) 536-9864
Fax: (770) 297-5023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 57493 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57493 Georgia

Profile Details

NPI number 1407836158
LBN Legal business name Shivprasad, Mini Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 9th, 2021 - about 5 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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