Nanjappa Shivashankar in Jacksonville - General Practice

Nanjappa Shivashankar - NPI 1093854168

Nanjappa Shivashankar is a General Practice in Jacksonville, Florida. Nanjappa Shivashankar practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nanjappa Shivashankar is 1093854168. The last update date is 2007-07-08.

Nanjappa Shivashankar's current location address is 12421 San Jose Blvd Ste 2a, Jacksonville, Florida. You can contact this provider via phone number 9042687552 and fax number 9042689792. The mailing address for Nanjappa Shivashankar is 12421 San Jose Blvd Ste 2a, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Nanjappa Shivashankar
Address 12421 San Jose Blvd Ste 2a, Jacksonville, Florida
Phone Number 9042687552
Fax Number 9042689792
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1093854168
Provider Enumeration Date 2007-02-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12421 San Jose Blvd Ste 2a
City Jacksonville
State Florida (FL)
Post Code 322238663
Phone Number 9042687552
Fax Number 9042689792

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No FL9317
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Nanjappa Shivashankar

What is the unique identification code assigned to Nanjappa Shivashankar by the Centers for Medicare & Medicaid Services?

The Nanjappa Shivashankar has been issued the NPI (National Provider Identifier) 1093854168. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Nanjappa Shivashankar?

The Nanjappa Shivashankar is situated at 12421 San Jose Blvd Ste 2A, in the city of Jacksonville, state of FL, with the zip code 322238663.

What is the area of specialization for Nanjappa Shivashankar, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Nanjappa Shivashankar is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When did the Nanjappa Shivashankar receive its 1093854168?

The Nanjappa Shivashankar was issued its 1093854168 on 2007-02-05, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Nanjappa Shivashankar, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Nanjappa Shivashankar, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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