Individual
MR. SHASHANK JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2006 HEALTH CAMPUS DR STE 200, ROCKINGHAM, VA 22801-8679
(540) 689-5555
Mailing address
46689 WINDMILL DR, FREMONT, CA 94539-7238
(408) 389-8774
(408) 516-9377
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01081142A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
11204
ND
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A126261
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD430577
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902047814
—
MN
01
—
A126261
STATE LICENSE
CA
Enumeration date
03/23/2009
Last updated
07/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us