SHIVAM MEDICAL GROUP PA NPI 1699112052

NPI Information

  • NPI: 1699112052
  • Provider Name: SHIVAM MEDICAL GROUP, PA
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 45D2111813
  • Address: 8518 CULEBRA ROAD
    SUITE 107
    SAN ANTONIO, TX
    ZIP 78251
  • Phone: (210) 910-5550

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NPI Details

SHIVAM MEDICAL GROUP, PA is a clinic center in San Antonio, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SHIVAM MEDICAL GROUP, PA NPI is 1699112052. The provider is registered as an organization entity type.

The provider's business location address is:

8518 CULEBRA ROAD
SUITE 107
SAN ANTONIO, TX
ZIP 78251
Phone: (210) 910-5550
Fax: (210) 971-9077

The provider's authorized official is Nishi Thakur .
The authorized official title is Provider and has the following contact phone number (210) 910-5550.

The CLIA number assigned to this NPI record is 45D2111813 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2013 and was last updated on 6/25/2024.

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
1261Q00000XClinic/CenterL2392TEXASYes

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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