Vignesh, Shivakumar

Vignesh, Shivakumar is an individual health care provider with primary practice located at 2946 E Banner Gateway Dr., Suite 400 , Gilbert AZ 85234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Vignesh, Shivakumar can be contacted via phone (480) 256-3332.

Contact Information

Primary practice address
2946 E Banner Gateway Dr., Suite 400 Gilbert AZ 85234
Phone: (480) 256-3332
Fax: (813) 449-8028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 040551 Connecticut
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME102765 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 64480 Arizona

Profile Details

NPI number 1033193891
LBN Legal business name Vignesh, Shivakumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Dec 28th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033193891 NPPES
Connecticut MEDICAID 001405514

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