Shreevatsa, Ajai
Shreevatsa, Ajai is an individual health care provider with primary practice located at 2700 Wayne Memorial Dr , Goldsboro NC 27534-9494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shreevatsa, Ajai can be contacted via phone (919) 736-1110.Contact Information
Primary practice address
2700 Wayne Memorial Dr
Goldsboro NC 27534-9494
Phone: (919) 736-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2014-01417 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 89029 | Ohio |
Profile Details
| NPI number | 1760549240 |
|---|---|
| LBN Legal business name | Shreevatsa, Ajai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | May 4th, 2022 - about 4 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 | 1760549240 | NPPES |
| Ohio | Other | 000000506289 | ANTHEM |
| Ohio | Other | 745494 | ANTHEM |
| Ohio | Other | 415034 | ANTHEM |
| Ohio | MEDICAID | 1760549240 | ANTHEM |
| Ohio | Other | P00385142 | ANTHEM |
| Ohio | Other | 7937887 | ANTHEM |
| Ohio | Other | 000000218191 | ANTHEM |
| Ohio | MEDICAID | 2720621 | ANTHEM |
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