Individual
DR. SHASHIDHAR R SHESHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4100
(941) 782-4101
Mailing address
PO BOX 9478, BRADENTON, FL 34206-9478
(941) 782-4299
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
EC-06-1090
ME
2084P0800X
Psychiatry Physician
Primary
ME121035
FL
2084P0804X
Child & Adolescent Psychiatry Physician
24529
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
05
—
013788600
—
FL
Enumeration date
11/30/2006
Last updated
09/09/2015
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