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Individual

SHYAM M SHRIDHARANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20375 W 151ST ST STE 105, OLATHE, KS 66061-5353
(913) 355-8100
(913) 303-5510
Mailing address
20375 W 151ST ST STE 105, OLATHE, KS 66061-5353
(913) 355-8100
(913) 303-5510

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
46861
MN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
04-43974
KS
207XS0117X
Orthopaedic Surgery of the Spine Physician
46861
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201331390A
KS
Enumeration date
01/10/2006
Last updated
11/12/2021
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