Individual
DR. SHIYAMA MUDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 320-2695
(302) 320-4618
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 320-2695
(302) 320-4618
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
35.120826
OH
207ZH0000X
Hematology (Pathology) Physician
C1-0027278
DE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C1-0027278
DE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME108420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003496200
—
FL
Enumeration date
01/17/2007
Last updated
07/02/2025
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