Individual
DR. SHIV U NAVADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
527 MEDICAL PAR DRIVE, STE 107, BRIDGEPORT, WV 26330
(304) 933-3843
(304) 933-3846
Mailing address
527 MEDICAL PARK DRIVE, STE 107, BRIDGEPORT, WV 26330
(304) 933-3843
(304) 933-3846
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16175
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089964000
—
WV
Enumeration date
06/28/2005
Last updated
11/23/2010
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