Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35.128901 | OH |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 4301099499 | MI |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 4301099499 | MI |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 4301099499 | MI |
NPI | 1649502121 |
---|---|
Provider Name | Dr. Vithal B Shendge |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614-2595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2010 |
Last Update Date | 08/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0176899 | (05) | OH |