SHIVAG DIABETIC SHOES AND ORTHOTICS LLC NPI 1912465311

NPI Information

NPI: 1912465311
Provider Name: SHIVAG DIABETIC SHOES AND ORTHOTICS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Specialization: Customized Equipment
Entity Type: Organization
Address: 3100 DURALEIGH RD STE 207
RALEIGH, NC
ZIP 27612
Phone: (984) 200-7950

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NPI Details

SHIVAG DIABETIC SHOES AND ORTHOTICS LLC is a customized equipment durable medical equipment medical supplies in Raleigh, NC. SHIVAG DIABETIC SHOES AND ORTHOTICS LLC NPI is 1912465311. The provider is registered as an organization entity type.

The provider's business location address is:

3100 DURALEIGH RD STE 207
RALEIGH, NC
ZIP 27612-106
Phone: (984) 200-7950
Fax: (984) 200-8370

The provider's authorized official is Denayswharie Dhanraj .
The authorized official title is Owner/president and has the following contact phone number (984) 200-7950.

The enumeration date for this NPI number is 3/5/2019 and was last updated on 1/5/2022.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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: 3/30/2025

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