Individual
RUPA SHIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
NASA MARSHALL SPACE FLIGHT CENTER, AS10 BUILDING 4249, HUNTSVILLE, AL 35812-3581
(256) 544-5731
(256) 544-5743
Mailing address
NASA MARSHALL SPACE FLIGHT CENTER, AS10 BUILDING 4249, HUNTSVILLE, AL 35812-3581
(565) 445-7312
(256) 544-5743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28819
AL
207Q00000X
Family Medicine Physician
L2630
AL
Other
Enumeration date
05/23/2007
Last updated
12/15/2023
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