Indu Shivaram MD

NPI 1194817619 - Internal Medicine - 207R00000X

NPI Details
NPI 1194817619
Gender Female
Enumeration Date 09/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
648 BAY RIDGE PARKWAY
BROOKLYN NY, 11209, US
Phone (718) 748-8282
Fax (718) 836-8113
Business Location
648 BAY RIDGE PARKWAY
BROOKLYN NY, 11209, US
Phone (718) 748-8282
Fax (718) 836-8113
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 176776
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According to our database, Indu Shivaram MD NPI is 1194817619, taxonomy code is 207R00000X and license number is 176776, license state is located at New York. Indu Shivaram MD physically located at 648 Bay Ridge Parkway, Brooklyn NY, 11209. NPI Number Indu Shivaram MD has the Individual type.

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1194817619 NPI number is provided on an as is basis without warranty of any kind. 1194817619 is maintained by the National Plan & Provider Enumeration System. The contents of Indu Shivaram MD are for informational purposes only.