Individual
SHIVANI BISHNOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
138 HARVEST HL, POOLER, GA 31322-0698
(479) 459-7846
Mailing address
138 HARVEST HL, POOLER, GA 31322-0698
(479) 459-7846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301091980
MI
207R00000X
Internal Medicine Physician
ME118609
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
89918
GA
Other
Enumeration date
08/06/2008
Last updated
11/30/2025
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