Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 151274 | DC |
N | 111NI0900X | Internist | 151274 | DC |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 4301110559 | MI |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | A130061 | CA |
NPI | 1023264280 |
---|---|
Provider Name | Dr. Shrinivas Hebsur |
First Address | Ann Arbor, MI 48105-9484 |
Second Address | Ypsilanti, MI 48197-8633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 30/08/2016 |