Bavikatte N Shivakumar M.D.

NPI 1043200835 - Specialist - 174400000X

NPI Details
NPI 1043200835
Gender Male
Enumeration Date 10/24/2005
Last Updated 04/25/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
5041 UTICA RIDGE RD
SUITE 100
DAVENPORT IA, 52807-3480, US
Phone (563) 359-9696
Fax (563) 359-1730
Business Location
5041 UTICA RIDGE RD
SUITE 100
DAVENPORT IA, 52807-3480, US
Phone (563) 359-9696
Fax
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036063062
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According to our database, Bavikatte N Shivakumar M.D. NPI is 1043200835, taxonomy code is 174400000X and license number is 036063062, license state is located at Illinois. Bavikatte N Shivakumar M.D. physically located at 5041 Utica Ridge Rd, Davenport IA, 52807-3480. NPI Number Bavikatte N Shivakumar M.D. has the Individual type.

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1043200835 NPI number is provided on an as is basis without warranty of any kind. 1043200835 is maintained by the National Plan & Provider Enumeration System. The contents of Bavikatte N Shivakumar M.D. are for informational purposes only.