Shivananda, Sushma

Shivananda, Sushma is an individual health care provider with primary practice located at 530 Ne Glen Oak , Peoria IL 61637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Shivananda, Sushma can be contacted via phone (309) 624-4100.

Contact Information

Primary practice address
530 Ne Glen Oak Peoria IL 61637
Phone: (309) 624-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 125.082886 Illinois

Profile Details

NPI number 1285313072
LBN Legal business name Shivananda, Sushma
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Jan 25th, 2024 - about 2 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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