Shivkumar Bhadola
Psychiatry & Neurology, Neurology in Worcester, Massachusetts
1023579349- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 617-414-5951
- Fax
- 617-414-9251
- Last updated
- October 14, 2024
Shivkumar Bhadola is a Psychiatry & Neurology, Neurology based in Worcester, MA. Shivkumar Bhadola practices in Worcester, MA. The NPI Number for Shivkumar Bhadola is 1023579349 and holds a License No. 1019345 (MA). The current practice location address for Shivkumar Bhadola is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 617-414-5951 and via fax at 617-414-9251.
Provider Profile Details
- NPI Number
- 1023579349
- Provider Name
- Shivkumar Bhadola
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 617-414-5951
- Fax Number
- 617-414-9251
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 28, 2019
- Last Update Date
- October 14, 2024
- Certification Date
- October 14, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 617-414-5951
- Fax Number
- 617-414-9251
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 002-258-8858
- Fax Number
- 508-334-1977
License Information
- License Number
- 1019345
- License State
- MA
- Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shivkumar Bhadola?
The NPI number of Shivkumar Bhadola is 1023579349. It was assigned on March 28, 2019 and is currently active in the NPPES registry.
What is the specialty of Shivkumar Bhadola?
Shivkumar Bhadola is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in MA under license number 1019345.
Where does Shivkumar Bhadola practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 617-414-5951 (phone) or 617-414-9251 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023579349 directly on the NPPES registry website.