Shivanand Bomman Shivashanker MD

NPI 1063641348 - Internal Medicine - 207R00000X

NPI Details
NPI 1063641348
Gender Male
Enumeration Date 07/08/2009
Last Updated 12/10/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
7391 W CHARLESTON BLVD
SUITE 140
LAS VEGAS NV, 89117-1577, US
Phone (702) 304-2144
Fax (702) 304-2147
Business Location
7391 W CHARLESTON BLVD
SUITE 140
LAS VEGAS NV, 89117-1577, US
Phone (702) 304-2144
Fax (702) 304-2147
Toxanomy
Taxonomy Code 207R00000X
License State Nevada
License Number 14557
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According to our database, Dr. Shivanand Bomman Shivashanker MD NPI is 1063641348, taxonomy code is 207R00000X and license number is 14557, license state is located at Nevada. Shivanand Bomman Shivashanker MD physically located at 7391 W Charleston Blvd, Las Vegas NV, 89117-1577. NPI Number Shivanand Bomman Shivashanker MD has the Individual type.

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1063641348 NPI number is provided on an as is basis without warranty of any kind. 1063641348 is maintained by the National Plan & Provider Enumeration System. The contents of Shivanand Bomman Shivashanker MD are for informational purposes only.