Shivadas, Anita
Shivadas, Anita is an individual health care provider with primary practice located at 5832 Fayetteville Rd Suite 113, Durham NC 27713-6290. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Shivadas, Anita can be contacted via phone (919) 544-6644.Contact Information
Primary practice address
5832 Fayetteville Rd Suite 113
Durham NC 27713-6290
Phone: (919) 544-6644
Fax: (919) 544-0934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35087481 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 201001362 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2010-01362 | North Carolina |
Profile Details
| NPI number | 1972559896 |
|---|---|
| LBN Legal business name | Shivadas, Anita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Dec 15th, 2010 - about 14 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 | 1972559896 | NPPES |
| North Carolina | Other | 166560 | NC LICENSE |
| North Carolina | MEDICAID | 2654686 | NC LICENSE |
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