Individual
FNU PETE PRASHAMSA SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 CHESTNUT ST STE 701, PHILADELPHIA, PA 19107-4409
(215) 503-3000
Mailing address
1301 N HARRISON ST APT 1105, WILMINGTON, DE 19806-3169
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD481561
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851889836
—
CT
Enumeration date
12/11/2023
Last updated
12/11/2023
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