Individual
DR. DEEPA SHIVNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS, DNB, ENT, MD
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(858) 305-5039
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
E-18773
AR
207YP0228X
Pediatric Otolaryngology Physician
E-18773
AR
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
E-18773
AR
Other
Enumeration date
10/01/2024
Last updated
01/03/2025
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