NPI Code Details Logo

NPI 1861809741

NPI 1861809741 : SHUBASH ADHIKARI M.D. : BURLINGTON, VT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1861809741
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SHUBASH ADHIKARI M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/12/2014
-----------------------------------------------------
    Last Update Date     |    10/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    111 COLCHESTER AVE 
-----------------------------------------------------
    City                 |    BURLINGTON
-----------------------------------------------------
    State                |    VT
-----------------------------------------------------
    Zip                  |    05401-1473
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    802-847-0000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3200 MACCORKLE AVE SE FL 4 
-----------------------------------------------------
    City                 |    CHARLESTON
-----------------------------------------------------
    State                |    WV
-----------------------------------------------------
    Zip                  |    25304-1227
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    304-388-5590
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    27620
-----------------------------------------------------
    License Number State |    WV
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    MT206229
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    042.0018383
-----------------------------------------------------
    License Number State |    VT
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.