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Pushpa Shivaram, MD
Student in an Organized Health Care Education/Training Program in Marshfield, Wisconsin
NPI 1306192604

Pushpa Shivaram is a Student in an Organized Health Care Education/Training Program based in Augusta, WI. Pushpa Shivaram practices in Marshfield, WI and has the professional credentials of MD. The NPI Number for Pushpa Shivaram is 1306192604 and holds a License No. 080240 (Wisconsin).

The current practice location address for Pushpa Shivaram is 1000 N Oak Ave, Marshfield, WI and can be reached out via phone at 715-387-5267 and via fax at 715-389-3142. You can also correspond with Pushpa Shivaram through the mailing address at 1120 15TH STREET, AUGUSTA, GA - 30912-0004 (mailing address contact number: 706-721-8623).

Location: 1000 N Oak Ave, Marshfield, WI, 30912-0004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306192604
Provider Name
Pushpa Shivaram
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1000 N Oak Ave, Marshfield, WI, 30912-0004
Phone Number
715-387-5267
Fax Number
715-389-3142
Provider Enumeration Date
07/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 N Oak Ave
City
Marshfield
State
Wisconsin
Zip
54449-5703
Phone Number
715-387-5267
Fax Number
715-389-3142
person
Provider Business Mailing Address Details
Address
1120 15Th Street
City
Augusta
State
Georgia
Zip
30912-0004
Phone Number
706-721-8623
Fax Number
706-721-1459
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Cardiology
Taxonomy
2080P0202X
License No.
()
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
080240 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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