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Dr. Shivprasad D. Nikam, MD
Vascular Surgery Physician in Wilkes Barre, Pennsylvania
NPI 1740407634

Shivprasad D. Nikam is a Vascular Surgery Physician based in Danville, PA and is specialized in Vascular Surgery. Shivprasad D. Nikam practices in Wilkes Barre, PA and has the professional credentials of MD. The NPI Number for Shivprasad D. Nikam is 1740407634 and holds a License No. MD425982 (Pennsylvania).

The current practice location address for Shivprasad D. Nikam is 1000 E Mountain Dr, Wilkes Barre, PA and can be reached out via phone at 570-820-6020 and via fax at 570-821-2306.

Location: 1000 E Mountain Dr, Wilkes Barre, PA, 17822-3034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740407634
Provider Name
Shivprasad D. Nikam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 E Mountain Dr, Wilkes Barre, PA, 17822-3034
Phone Number
570-820-6020
Fax Number
570-821-2306
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1000 E Mountain Dr
City
Wilkes Barre
State
Pennsylvania
Zip
18711-0027
Phone Number
570-820-6020
Fax Number
570-821-2306
person
Provider Business Mailing Address Details
Address
1000 E Mountain Dr
City
Wilkes Barre
State
Pennsylvania
Zip
18711-0027
Phone Number
570-820-6020
Fax Number
570-821-2306
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
MD425982 (Pennsylvania)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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