Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DODDACHALLOR MATT SHIVAKUMAR, M.D.
Active Sole ProprietorDR. DODDACHALLOR MATT SHIVAKUMAR, M.D. is a Internal Medicine healthcare provider located in HODGENVILLE, Kentucky. NPI 1356311351 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · HODGENVILLE, KY
Registration Details
- NPI Number
- 1356311351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2006 (20.369768080983 yrs)
- Last Updated
- Sep 8, 2010
- License
-
KY20452 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
908 S LINCOLN BLVDHODGENVILLE, KY, 427481702Browse KY providers · Browse ZIP 42748
- Phone
- 2703588650
- Fax
- 2703580084
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in HODGENVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| KHUE N TRAN | MD | 1013015361 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.