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SHIVHANUMAN MEDICAL PC NPI 1619055092


NPI Information

NPI: 1619055092
Provider Name: SHIVHANUMAN MEDICAL PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
405 E 187TH ST
BRONX, NY
ZIP 10458
Phone: (718) 365-7770
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SHIVHANUMAN MEDICAL PC is a primary care clinic center in Bronx, NY. SHIVHANUMAN MEDICAL PC NPI is 1619055092. The provider is registered as an organization entity type.

The provider's business location address is:

405 E 187TH ST
BRONX, NY
ZIP 10458-705
Phone: (718) 365-7770
Fax: (718) 365-7777

The provider's authorized official is Akxay Shashikant Patel .
The authorized official title is President and has the following contact phone number (718) 365-7770.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care210008NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101970350MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.