DR. Doddachallor Matt Shivakumar, M.D.,

NPI #1356311351 in Hodgenville, Kentucky

Provider Information

NPI Number
1356311351
Entity Type
Individual
Name
DR. Doddachallor Matt Shivakumar, M.D.,
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
M.D.,
Enumeration Date
Jan 24, 2006
Last Updated
Sep 8, 2010

Practice Location

Address
908 S LINCOLN BLVD
ZIP Code
42748-1702
Phone
(270) 358-8650

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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Organizations

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