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Shanti Mangalasseril Shivaji, MD
Obstetrics & Gynecology Physician in Greensboro, North Carolina
NPI 1487018586

Shanti Mangalasseril Shivaji is a Obstetrics & Gynecology Physician based in Mc Lean, NC. Shanti Mangalasseril Shivaji practices in Greensboro, NC and has the professional credentials of MD. The NPI Number for Shanti Mangalasseril Shivaji is 1487018586 and holds a License No. (North Carolina).

The current practice location address for Shanti Mangalasseril Shivaji is 510 N Elam Ave Ste 101, Greensboro, NC and can be reached out via phone at 336-854-8800 and via fax at 336-834-0595. You can also correspond with Shanti Mangalasseril Shivaji through the mailing address at 1730 BALDWIN DR, MC LEAN, VA - 22101-5048 (mailing address contact number: 703-442-0486).

Location: 510 N Elam Ave Ste 101, Greensboro, NC, 22101-5048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487018586
Provider Name
Shanti Mangalasseril Shivaji
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
510 N Elam Ave Ste 101, Greensboro, NC, 22101-5048
Phone Number
336-854-8800
Fax Number
336-834-0595
Provider Enumeration Date
04/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 N Elam Ave Ste 101
City
Greensboro
State
North Carolina
Zip
27403-1135
Phone Number
336-854-8800
Fax Number
336-834-0595
person
Provider Business Mailing Address Details
Address
510 N Elam Ave Ste 101
City
Greensboro
State
North Carolina
Zip
27403-1135
Phone Number
336-854-8800
Fax Number
336-834-0595
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
202002975 (North Carolina)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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.
()
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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