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Contact Information

VIJAYASHREE P SHANKAR
3801 SPRING ST
RACINE, WI53405-1667
 Phone: 262-687-4011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for VIJAYASHREE P SHANKAR · (Female)

NPI # 1013089085
Status Active
Credentials
Entity Individual
Enumeration date 11/14/2006
Last updated 01/02/2009 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 40641-020
Hospital affiliation(s)
  • AURORA MED CTR KENOSHA - (Acute Care)
    10400 75TH ST
    KENOSHA, WI 53142
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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