D M Shivakumar M D P S C
NPI #1336470806 in Hodgenville, Kentucky
Provider Information
- NPI Number
- 1336470806
- Entity Type
- Organization
- Organization Name
- D M Shivakumar M D P S C
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 23, 2010
- Last Updated
- Sep 8, 2010
Practice Location
- Address
- 908 S LINCOLN BLVD
- City
- Hodgenville
- State
- Kentucky
- ZIP Code
- 42748-1702
- Phone
- (270) 358-8650
Authorized Official
- Name
- DR. DODDACHALLOR MATT SHIVAKUMAR, M D
- Title
- PRESIDENT
- Phone
- (270) 358-8650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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