Organization
SOLANESTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHILPA BAHETHI MBBS (OWNER)
(571) 484-6948
Entity
Organization
Contact information
Practice address
7300 HANOVER DR, 104, GREENBELT, MD 20770-2202
(571) 484-4948
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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