Shivpuri, Chandra R

Shivpuri, Chandra R is an sole proprietor health care provider with primary practice located at 3070 N 51St St Suite 309, Milwaukee WI 53210-1645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Shivpuri, Chandra R can be contacted via phone (414) 447-2674.

Contact Information

Primary practice address
3070 N 51St St Suite 309 Milwaukee WI 53210-1645
Phone: (414) 447-2674
Fax: (414) 447-2884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 25431 Wisconsin

Profile Details

NPI number 1366544330
LBN Legal business name Shivpuri, Chandra R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1366544330 NPPES
Wisconsin MEDICAID 30526900

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