Individual
ANITA SHIVADAS
Active
Individual
ANITA SHIVADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
201001362
NC
207R00000X
Internal Medicine Physician
2010-01362
NC
207R00000X
Internal Medicine Physician
Primary
35087481
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166560
NC LICENSE
NC
05
—
2654686
—
OH
Enumeration date
05/25/2006
Last updated
12/15/2010
Update your record
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