MEDICARE: DR. SHACHI SUBHASH LOVEKAR M.D.

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
1	207RN0300X	Nephrology Physician	35120128	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1457560278	OTHER	OH	NPI

General Provider Information

NPI Number	:	1457560278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHACHI SUBHASH LOVEKAR M.D.

Provider Business Mailing Address
First Line	:	7700 WASHINGTON VILLAGE DR
Second Line	:	SUITE 220
City	:	DAYTON
State	:	OH
Zip	:	45459-4094
Country	:	US
Telephone Number	:	937-438-3132
Fax Number	:	937-438-8707

Provider Business Practice Location Address
First Line	:	7700 WASHINGTON VILLAGE DR
Second Line	:	SUITE 230
City	:	DAYTON
State	:	OH
Zip	:	45459-4094
Country	:	US
Telephone Number	:	937-438-3132
Fax Number	:	937-438-8707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	11/13/2013

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