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Individual

DR. SHIV P SOMESHWAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5014
(202) 476-3732
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5014
(202) 476-3732

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101252933
VA
208000000X
Pediatrics Physician
20913
WV
208000000X
Pediatrics Physician
Primary
MD040913
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588788194
VA
05
1808630000
WV
05
510213800
MD
05
76828900
DC
Enumeration date
03/19/2007
Last updated
04/20/2022
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