Organization
SHIVAG DIABETIC SHOES AND ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENAYSWHARIE DHANRAJ (OWNER/PRESIDENT)
(984) 200-7950
Entity
Organization
Contact information
Practice address
3100 DURALEIGH RD STE 207, RALEIGH, NC 27612-8106
(984) 200-7950
(984) 200-8370
Mailing address
3100 DURALEIGH RD STE 207, RALEIGH, NC 27612-8106
(984) 200-7950
(984) 200-8370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
01/05/2022
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