Shivaram, Mysore S
Shivaram, Mysore S is an individual health care provider with primary practice located at 7400 W Rawson Ave #225, Franklin WI 53132-8278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Shivaram, Mysore S can be contacted via phone (414) 425-8232.Contact Information
Primary practice address
7400 W Rawson Ave #225
Franklin WI 53132-8278
Phone: (414) 425-8232
Fax: (414) 425-8267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 22232 | Wisconsin |
Profile Details
| NPI number | 1750318903 |
|---|---|
| LBN Legal business name | Shivaram, Mysore S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | May 22nd, 2019 - about 6 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 | 1750318903 | NPPES |
| Wisconsin | MEDICAID | 30256600 |
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