Individual
DR. ANIL M SHIVARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 E FOOTHILL BLVD, CLAREMONT, CA 91711-3511
(909) 624-8077
Mailing address
655 E FOOTHILL BLVD, CLAREMONT, CA 91711-3511
(909) 624-8077
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A102249
CA
Other
Enumeration date
01/10/2008
Last updated
08/15/2012
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