VANDANA SHASHI MD NPI 1144204868

NPI Information

NPI: 1144204868
Provider Name: VANDANA SHASHI, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Organization: PRIVATE DIAGNOSTIC CLINIC, PLLC

PECOS Registration: Yes

Address:
2100 ERWIN RD
DURHAM, NC
ZIP 27705
Phone: (919) 684-8111
Get Directions

Vandana Shashi, MD is a clinical genetics (m.d.) medical genetics in Durham, NC with 42 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Vandana Shashi, MD NPI is 1144204868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 ERWIN RD
DURHAM, NC
ZIP 27705-941
Phone: (919) 684-8111

The NPI 1144204868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 10/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	94 01030	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1066W	OTHER		BCBS
2	G02034	MEDICARE UPIN
3	2242772A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
4	6724779	MEDICAID	VIRGINIA
5	2007335000	MEDICAID	WEST VIRGINIA
6	176794	MEDICAID	SOUTH CAROLINA
7	74315	OTHER		MEDCOST
8	891066W	MEDICAID	NORTH CAROLINA
9	370020998	OTHER		RR MEDICARE
10	4645029	OTHER		AETNA
11	20290	OTHER		PARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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