Individual
DR. SHIVA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KK RIVER PKWY, SUITE 1030, MILWAUKEE, WI 53215-3669
(414) 908-6500
(414) 385-2980
Mailing address
3033 S 27TH ST, SUITE 202, MILWAUKEE, WI 53215-3600
(414) 908-6500
(414) 385-2980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15623R
LA
207RI0008X
Hepatology Physician
Primary
51144-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1460702
—
LA
01
—
51144-20
STATE OF WI LICENSE
WI
Enumeration date
06/07/2006
Last updated
07/24/2008
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