Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KALUGOTLA N SHIVARAM, MD
ActiveDR. KALUGOTLA N SHIVARAM, MD is a Emergency Medicine healthcare provider located in WENTZVILLE, Missouri. NPI 1619959137 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · WENTZVILLE, MO
Registration Details
- NPI Number
- 1619959137
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2005 (20.696308239586 yrs)
- Last Updated
- Oct 6, 2023
- Licenses
-
036086751 (IL)111383 (MO)111383 (MO)111383 (MO)
Practice Information
- Address
-
1111 W PEARCE BLVDWENTZVILLE, MO, 633851020Browse MO providers · Browse ZIP 63385
- Phone
- 6368874288
- Fax
- 6366392368
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Pediatric Emergency Medicine
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Pediatrics
Other Emergency Medicine Providers in WENTZVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| KERRY E FLORENCE | MD | 1841285749 |
| NANCY E NOEL | MD | 1063482958 |
| DR. DESH V ANAND | MD | 1154378073 |
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.