Siva, Shivi S

Siva, Shivi S is an individual health care provider with primary practice located at 600 Northern Blvd Ste 111 , Great Neck NY 11021-5200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Siva, Shivi S can be contacted via phone (516) 387-3990.

Contact Information

Primary practice address
600 Northern Blvd Ste 111 Great Neck NY 11021-5200
Phone: (516) 387-3990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 11017474A Indiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036138438 Illinois

Profile Details

NPI number 1548697964
LBN Legal business name Siva, Shivi S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2013
Last updated Jul 28th, 2021 - about 5 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 1548697964 NPPES
Illinois MEDICAID 036138438

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