Individual
SHOBANA SIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 S ORLANDO AVE STE C, WINTER PARK, FL 32789-4870
(407) 894-4693
Mailing address
807 S ORLANDO AVE STE C, WINTER PARK, FL 32789-4870
(407) 894-4693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME151158
FL
207RN0300X
Nephrology Physician
Primary
ME151158
FL
Other
Enumeration date
04/20/2012
Last updated
08/05/2024
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