Individual
ANITHA SHELVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 BARTLETT ST STE 203, LOWELL, MA 01852-1317
(978) 689-4601
(978) 291-0418
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-1574
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1019132
MA
208600000X
Surgery Physician
264013
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2015
Last updated
10/17/2025
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