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NPI Code Detail

MEDICARE: SHASHANK PASYA

MEDICARE: SHASHANK PASYA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramMO

General Provider Information

NPI Number : 1366385692
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHASHANK PASYA
Provider Business Mailing Address
First Line : 440 E TAMPA ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65806-1131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 440 E TAMPA ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65806-1131
Country : US
Telephone Number : 417-831-0150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/11/2026

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Directions to “ SHASHANK PASYA ” Practice Location

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