Krishna, Shiva S

Krishna, Shiva S is an individual health care provider with primary practice located at 1201 8Th St Se , Decatur AL 35601-3356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Krishna, Shiva S can be contacted via phone (256) 560-0646.

Contact Information

Primary practice address
1201 8Th St Se Decatur AL 35601-3356
Phone: (256) 560-0646
Fax: (256) 560-0649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 25205 Alabama
Other Service Providers / Specialist 174400000X 00025205 Alabama

Profile Details

NPI number 1952373805
LBN Legal business name Krishna, Shiva S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2006
Last updated Apr 9th, 2020 - 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 1952373805 NPPES
Alabama Other 00025205 AL. STATE LICENSE #
Alabama MEDICAID 221879 AL. STATE LICENSE #
Alabama MEDICAID 182367 AL. STATE LICENSE #

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