Active NPIOrganization

Shyam C. Shivdasani, MD Internal Medicine PLLC

Internal Medicine in New Rochelle, New York

NPI Number1336221696
Practice location
140 Lockwood Ave, Suite #216, New Rochelle, NY 10801-4915
Fax
914-235-7900
Last updated
May 29, 2008

Shyam C. Shivdasani, MD Internal Medicine PLLC is a healthcare organization based in New Rochelle, NY. Shyam C. Shivdasani, MD Internal Medicine PLLC practices in New Rochelle, NY. The NPI Number for Shyam C. Shivdasani, MD Internal Medicine PLLC is 1336221696 and holds a License No. 196192 (NY). The current practice location address for Shyam C. Shivdasani, MD Internal Medicine PLLC is 140 Lockwood Ave, Suite #216, New Rochelle, NY 10801-4915 and can be reached out via phone at 914-235-6900 and via fax at 914-235-7900.

Provider Profile Details

NPI Number
1336221696
Provider Name
Shyam C. Shivdasani, MD Internal Medicine PLLC
Provider Entity Type
Organization
Address
140 Lockwood Ave, Suite #216, New Rochelle, NY 10801-4915
Phone Number
914-235-6900
Fax Number
914-235-7900
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Ms. Shaleen Makhijani Shivdasani, CPA · Vp · 516-242-1430
Provider Enumeration Date
October 19, 2006
Last Update Date
May 29, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Lockwood Ave
Suite #216
New Rochelle, NY 10801-4915
Zip
10801-4915
Phone Number
914-235-6900
Fax Number
914-235-7900
New Rochelle, NY 10801Get directions →

Provider Business Mailing Address Details

Address
21 Reni RD
Manhasset, NY 11030-1222
City
Manhasset
State
NY
Zip
11030-1222
Phone Number
516-869-3210
Fax Number
516-627-0464

License Information

License Number (1)
196192
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
196192
License State (2)
NY
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Shyam C. Shivdasani, MD Internal Medicine PLLC?

The NPI number of Shyam C. Shivdasani, MD Internal Medicine PLLC is 1336221696. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Shyam C. Shivdasani, MD Internal Medicine PLLC?

Shyam C. Shivdasani, MD Internal Medicine PLLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 196192.

Where does Shyam C. Shivdasani, MD Internal Medicine PLLC practice?

The practice location is 140 Lockwood Ave, Suite #216, New Rochelle, NY 10801-4915. The office can be reached at 914-235-6900 (phone) or 914-235-7900 (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 1336221696 directly on the NPPES registry website.

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