Individual
SHIVA SHANKAR NATARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7645 WOLF RIVER CIR, SUITE 100, GERMANTOWN, TN 38138-1751
(901) 405-0275
Mailing address
7645 WOLF RIVER CIR STE 100, GERMANTOWN, TN 38138-1751
(901) 405-0275
(901) 922-6840
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
031974
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123843
—
MS
05
—
152654001
—
AR
01
—
16568
TLC
—
01
—
2075825
UNITED HEALTHCARE
—
01
—
339702002
CIGNA
—
05
—
3857230
—
TN
01
—
4170697
BC BS TN
TN
01
—
620903564
VESTICA/OMNICARE
—
01
—
7701233
AETNA
—
01
—
98965
BCBS OF ARKANSAS
AR
Enumeration date
05/19/2006
Last updated
03/25/2010
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