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General NPI Number Information
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NPI Number | 1629876651
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Entity Type | Organization
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Legal Business Name | ARMV SHIVA MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 4149 W 26TH ST
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City | CHICAGO
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State | IL
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Zip | 60623-4314
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Country | US
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Telephone | 773-542-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 LILAC AVE
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City | GLENVIEW
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State | IL
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Zip | 60025-1420
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Country | US
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Telephone | 773-317-8888
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANISH M PANDYA
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Credential | DC
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Telephone | 773-317-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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