Shivaram, Indu

Shivaram, Indu is an individual health care provider with primary practice located at 245 Flemingsburg Rd , Morehead KY 40351-1015. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Shivaram, Indu can be contacted via phone (606) 780-5500.

Contact Information

Primary practice address
245 Flemingsburg Rd Morehead KY 40351-1015
Phone: (606) 780-5500
Fax: (606) 780-5512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 176776 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 176776 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 176776 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101265411 Virginia

Profile Details

NPI number 1194817619
LBN Legal business name Shivaram, Indu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Oct 18th, 2023 - about last year

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 1194817619 NPPES
Kentucky MEDICAID 7100905520
Kentucky Other 57647

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