Mrs. Manjali Sushil Shastry
MD | Pediatrics | Female
Mrs. Manjali Sushil Shastry, MD is a Owosso, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Manjali Sushil Shastry is
1053 E Main Street, Suite 201, Owosso, Michigan - 48867. She can be contacted on phone at
989-729-4600 and fax number 989-725-5760.
Mrs. Manjali Sushil Shastry is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Manjali Sushil Shastry is
1801990254 which was assigned by NPPES on 07 Sep, 2006 and it was last updated on 29 Sep, 2011.
Mrs. Manjali Sushil Shastry license number is
4301069446 for Pediatrics (208000000X) in Michigan.
Mrs. Manjali Sushil Shastry is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Manjali Sushil Shastry basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Manjali Sushil Shastry |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Mrs. Manjali Sushil Shastry address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1053 E Main Street, Suite 201
Owosso, MI, 48867
United States |
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| Phone Number : | 989-729-4600 |
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| Fax Number : | 989-725-5760 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801990254 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Sep, 2006 |
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| Last Updated On : | 29 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Manjali Sushil Shastry are as mentioned. Primary taxonomy code for Mrs. Manjali Sushil Shastry, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301069446 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Manjali Sushil Shastry such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4552316 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1053 E Main Street, Suite 201
Owosso, MI, 48867
United States |
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| Phone Number : | 989-729-4600 |
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| Fax Number : | 989-725-5760 |
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Business Location:
Patients can refer following map for directions to
Mrs. Manjali Sushil Shastry practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.