Manjali Sushil Shastry in Owosso - Pediatrics
Manjali Sushil Shastry - NPI 1801990254
Manjali Sushil Shastry is a Pediatrics in Owosso, Michigan. Manjali Sushil Shastry practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Manjali Sushil Shastry is 1801990254. The last update date is 2011-09-29.
Manjali Sushil Shastry's current location address is 1053 E Main Street, Owosso, Michigan. You can contact this provider via phone number 9897294600 and fax number 9897255760. The mailing address for Manjali Sushil Shastry is 1053 E Main Street, Owosso, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manjali Sushil Shastry |
|---|---|
| Address | 1053 E Main Street, Owosso, Michigan |
| Phone Number | 9897294600 |
| Fax Number | 9897255760 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801990254 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2011-09-29 |
Provider Mailing Address Detail
| Address | 1053 E Main Street |
|---|---|
| City | Owosso |
| State | Michigan (MI) |
| Post Code | 48867 |
| Phone Number | 9897294600 |
| Fax Number | 9897255760 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301069446 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4552316 | MI | -- |
Post Comment/ Review Below
What is the Manjali Sushil Shastry's unique identification number?
The Manjali Sushil Shastry has been assigned the NPI (National Provider Identifier) Number 1801990254 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Manjali Sushil Shastry?
The Manjali Sushil Shastry is situated at 1053 E Main Street, in the city of Owosso, state of MI, with the zip code 48867.
What is Manjali Sushil Shastry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Manjali Sushil Shastry is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801990254 to Manjali Sushil Shastry?
The Manjali Sushil Shastry received its 1801990254 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date were the details related to Manjali Sushil Shastry most recently updated or revised?
The information pertaining to Manjali Sushil Shastry, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-29.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL