SHIVHANUMAN MEDICAL PC NPI 1619055092

NPI Information

NPI: 1619055092
Provider Name: SHIVHANUMAN MEDICAL PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 405 E 187TH ST
BRONX, NY
ZIP 10458
Phone: (718) 365-7770

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	210008	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01970350	MEDICAID	NEW 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: 11/21/2025

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