Hatti, Shivkumar Shivappa
Hatti, Shivkumar Shivappa is an individual health care provider with primary practice located at 107 Chesley Dr Unit 4, Media PA 19063-1760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hatti, Shivkumar Shivappa can be contacted via phone (610) 891-9024.Contact Information
Primary practice address
107 Chesley Dr Unit 4
Media PA 19063-1760
Phone: (610) 891-9024
Fax: (610) 891-9699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD037729L | Pennsylvania |
Profile Details
| NPI number | 1841297975 |
|---|---|
| LBN Legal business name | Hatti, Shivkumar Shivappa |
| Credentials | MD., MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841297975 | NPPES |
| Pennsylvania | MEDICAID | 847252 |
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