Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYSORE N SHIVARAM MD SC
Active OrganizationMYSORE N SHIVARAM MD SC is a Addiction Medicine (Internal Medicine) organization located in BERWYN, Illinois. NPI 1679888341 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · BERWYN, IL
Registration Details
- NPI Number
- 1679888341
- Provider Type
- Organization
- NPI Issued
- Aug 18, 2010 (16.025600495425 yrs)
- Last Updated
- Oct 15, 2014
- License
-
036044121 (IL)
Practice Information
- Address
-
6901 CERMAK RDBERWYN, IL, 604022160Browse IL providers · Browse ZIP 60402
- Phone
- 7084845660
- Fax
- 7084840194
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.