Sookram, Raquel Shivanna

Sookram, Raquel Shivanna is an sole proprietor health care provider with primary practice located at 5505 Myrtle Ave , Ridgewood NY 11385-3550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sookram, Raquel Shivanna can be contacted via phone (718) 471-6454.

Contact Information

Primary practice address
5505 Myrtle Ave Ridgewood NY 11385-3550
Phone: (718) 471-6454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F346461-01 New York

Profile Details

NPI number 1841807799
LBN Legal business name Sookram, Raquel Shivanna
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2020
Last updated Sep 24th, 2020 - about 4 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.

Request for update

Popular Providers