Individual
DR. SHIVAM DUBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1275
(863) 284-1534
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805
(636) 871-1008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101279226
VA
2084P0800X
Psychiatry Physician
01070541A
IN
2084P0800X
Psychiatry Physician
ME142635
FL
Other
Enumeration date
10/02/2008
Last updated
04/19/2024
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