MRS. Prashanti Shivaram, P.A.

NPI #1215261987 in Franklin, Wisconsin

Provider Information

NPI Number
1215261987
Entity Type
Individual
Name
MRS. Prashanti Shivaram, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Sep 28, 2009
Last Updated
Sep 28, 2009

Practice Location

Address
7400 W RAWSON AVE
Address 2
SUITE 225
ZIP Code
53132-8278
Phone
(414) 425-8232

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant - SurgicalSurgical

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