D M Shivakumar M D P S C

LBN: D M Shivakumar M D P S C
D M Shivakumar M D P S C is an health care organization with primary practice located at 908 S Lincoln Blvd , Hodgenville KY 42748-1702. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. D M Shivakumar M D P S C can be contacted via phone (270) 358-8650, or through Shivakumar, Doddachallor Matt via phone (270) 358-8650.

Contact Information

Primary practice address
908 S Lincoln Blvd Hodgenville KY 42748-1702
Phone: (270) 358-8650
Fax: (270) 358-0084
Website:
Map and Directions
Authorized official contact:
Name: Shivakumar, Doddachallor Matt Doctor of Medicine (MD)
Phone: (270) 358-8650

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20452 Kentucky

Profile Details

NPI number 1336470806
LBN Legal business name D M Shivakumar M D P S C
DBA Doing business as
Authorized official Shivakumar, Doddachallor Matt Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2010
Last updated Sep 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336470806 NPPES
Kentucky MEDICAID 64204522

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