Vadivelu, Shanmugham

Vadivelu, Shanmugham is an individual health care provider with primary practice located at 1507 Wabash St Suite 400C, Michigan City IN 46360-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Vadivelu, Shanmugham can be contacted via phone (219) 871-0833.

Contact Information

Primary practice address
1507 Wabash St Suite 400C Michigan City IN 46360-4300
Phone: (219) 871-0833
Fax: (219) 871-0836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01060743A Indiana

Profile Details

NPI number 1902806193
LBN Legal business name Vadivelu, Shanmugham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 19 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 1902806193 NPPES
Indiana Other 000000366517 ANTHEM BLUE SHIELD

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