Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIDYULLATHA SHIVARAM, MD
ActiveVIDYULLATHA SHIVARAM, MD is a Pediatrics healthcare provider located in NEW CANTON, Virginia. NPI 1821018730 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · NEW CANTON, VA
Registration Details
- NPI Number
- 1821018730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2006 (20.030552016601 yrs)
- Last Updated
- Nov 30, 2012
- Licenses
-
0101054431 (VA)0101054431 (VA)
Practice Information
- Address
-
25892 N JAMES MADISON HWYNEW CANTON, VA, 231230220Browse VA providers · Browse ZIP 23123
- Phone
- 4345813271
- Fax
- 4345811105
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in NEW CANTON, VA
| Name | Credential | NPI |
|---|---|---|
| ROBBIE L LEWIS BLACKWELL | MD | 1598743841 |
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.