Individual
SHIVANI DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
550 BROADVIEW AVE STE 102, WARRENTON, VA 20186-2036
(888) 628-8272
Mailing address
10401 SPOTSYLVANIA AVE, SUITE 200, FREDERICKSBURG, VA 22408-8606
(540) 361-1000
(540) 361-7010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002305
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154400091
—
VA
Enumeration date
11/03/2006
Last updated
12/16/2025
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