Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 63748 | CT |
Y | 2084N0400X | Neurologist | MD60342170 | WA |
N | 2084N0400X | Neurologist | ME117068 | FL |
NPI | 1013116730 |
---|---|
Provider Name | Sheila Santhappa |
First Address | Vancouver, WA 98664-1989 |
Second Address | New Britain, CT 06052-2016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009649700 | (05) | FL |
14RC5 | BCBS (01) | FL |
3522839 | CIGNA (01) | FL |
4947399 | AETNA (01) | FL |
P01224659 | RAILROAD MEDICARE (01) | FL |