Individual
DR. SHIVAM KHAROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 WATERMAN WAY, TAVARES, FL 32778-5258
(352) 253-3600
(352) 253-3647
Mailing address
4000 WATERMAN WAY, TAVARES, FL 32778-5258
(352) 253-3600
(352) 253-3647
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME148813
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/06/2016
Last updated
12/20/2022
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