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NPI Code Detail

MEDICARE: DR. SHIVANI KAMDAR D.O.

MEDICARE: DR. SHIVANI KAMDAR D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDO034214DC
2207Q00000XFamily Medicine Physician036-113674IL

General Provider Information

NPI Number : 1083775480
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHIVANI KAMDAR D.O.
Provider Business Mailing Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-388-8179
Fax Number : 202-388-8164
Provider Business Practice Location Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-388-8179
Fax Number : 202-388-8164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 04/26/2021

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Directions to “ DR. SHIVANI KAMDAR D.O.” Practice Location

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