Individual
SHIJU SANTHA NIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(786) 218-0073
Mailing address
46244 GRASS MEADOW WAY, TEMECULA, CA 92592-4196
(786) 218-0073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11040348
FL
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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