Champaneri, Shivam A

Champaneri, Shivam A is an individual health care provider with primary practice located at 6354 Walker Ln Ste 400 , Alexandria VA 22310-3252. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Champaneri, Shivam A can be contacted via phone (571) 472-7322.

Contact Information

Primary practice address
6354 Walker Ln Ste 400 Alexandria VA 22310-3252
Phone: (571) 472-7322
Fax: (571) 472-7323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101253867 Virginia
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X D0072073 Maryland
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 0101253867 Virginia

Profile Details

NPI number 1932321981
LBN Legal business name Champaneri, Shivam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Oct 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932321981 NPPES
Maryland MEDICAID 043171100

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