Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 4301503390 | MI |
NPI | 1033560057 |
---|---|
Provider Name | Shreedhar Adhikari |
First Address | Bay City, MI 48706-9350 |
Second Address | West Branch, MI 48661-8602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2016 |
Last Update Date | 25/06/2021 |