Shivakumar, Deepti

Shivakumar, Deepti is an individual health care provider with primary practice located at 675 W North Ave Suite 416, Melrose Park IL 60160-1634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shivakumar, Deepti can be contacted via phone (708) 681-7818.

Contact Information

Primary practice address
675 W North Ave Suite 416 Melrose Park IL 60160-1634
Phone: (708) 681-7818
Fax: (708) 681-7903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036128856 Illinois

Profile Details

NPI number 1023221157
LBN Legal business name Shivakumar, Deepti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated May 3rd, 2021 - about 3 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 1023221157 NPPES
Hawaii Other 0000269233 HMSA BILLING NUMBER
Hawaii MEDICAID 59958-01 HMSA BILLING NUMBER

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