Individual
NATHAN R SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3683
(412) 359-3373
Mailing address
420 E NORTH AVE STE 406, PITTSBURGH, PA 15212-4746
(412) 359-3683
(412) 359-3373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD20188
ME
207RI0200X
Infectious Disease Physician
Primary
MD461187
PA
Other
Enumeration date
06/23/2011
Last updated
09/30/2020
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