Individual
DR. SHIVKUMAR SHIVAPPA HATTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD., MBA
Contact information
Practice address
107 CHESLEY DR, UNIT 4, MEDIA, PA 19063-1760
(610) 891-9024
(610) 891-9699
Mailing address
107 CHESLEY DR, UNIT 4, MEDIA, PA 19063-1760
(610) 891-9024
(610) 891-9699
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD037729L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847252
—
PA
Enumeration date
07/05/2005
Last updated
07/08/2007
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