Individual
DR. IRA A SHIVITZ
Active
Individual
DR. IRA A SHIVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15763
TN
207W00000X
Ophthalmology Physician
Primary
MD15763
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001364
NHC HEALTH BENEFIT PLAN
TN
01
—
0627781
CIGNA
TN
01
—
0840173
UNITED HEALTHCARE
TN
01
—
180036789
RAIL ROAD MEDICARE
TN
01
—
2150030
AETNA
TN
01
—
3126360
TENNCARE SELECT
TN
05
—
3717165
—
TN
01
—
621745543
HUMANA
TN
01
—
621745543000
PRUDENTIAL
TN
01
—
B58858
HEALTHSPRING
TN
Enumeration date
06/24/2005
Last updated
12/19/2024
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