Shivaram, Vidyullatha

Shivaram, Vidyullatha is an individual health care provider with primary practice located at 25892 N James Madison Hwy , New Canton VA 23123-0220. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shivaram, Vidyullatha can be contacted via phone (434) 581-3271.

Contact Information

Primary practice address
25892 N James Madison Hwy New Canton VA 23123-0220
Phone: (434) 581-3271
Fax: (434) 581-1105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101054431 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101054431 Virginia

Profile Details

NPI number 1821018730
LBN Legal business name Shivaram, Vidyullatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Nov 30th, 2012 - about 14 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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