Shachi Srivatsa
Student in an Organized Health Care Education/Training Program in Columbus, OH. Individual provider (NPI-1).
NPI number1013594852
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1013594852
- Entity type
- Individual (NPI-1)
- Name
- Shachi Srivatsa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2021
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
395 W 12th AveColumbus, OH 43210-1267
Phone 614-293-8704
Mailing address
395 W 12th AveColumbus, OH 43210-1267
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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