Pathak, Shivani R
Pathak, Shivani R is an individual health care provider with primary practice located at 9960 Sky Ridge Ave , Lone Tree CO 80124-5644. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Pathak, Shivani R can be contacted via phone (303) 706-1616.Contact Information
Primary practice address
9960 Sky Ridge Ave
Lone Tree CO 80124-5644
Phone: (303) 706-1616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | DR.0067168 | Colorado |
Profile Details
| NPI number | 1962898361 |
|---|---|
| LBN Legal business name | Pathak, Shivani R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Mar 1st, 2024 - about 9 months 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 | 1962898361 | NPPES |
| California | MEDICAID | 280986 |
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