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NPI Code Detail

MEDICARE: SHIVANI PUROHIT MD

MEDICARE: SHIVANI PUROHIT MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RR0500XRheumatology Physician271850NY

General Provider Information

NPI Number : 1689820763
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIVANI PUROHIT MD
Provider Business Mailing Address
First Line : 507 AIRPORT EXECUTIVE PARK
Second Line :
City : NANUET
State : NY
Zip : 10954-5238
Country : US
Telephone Number : 845-262-5313
Fax Number :
Provider Business Practice Location Address
First Line : 327 ROUTE 59
Second Line :
City : AIRMONT
State : NY
Zip : 10952-3420
Country : US
Telephone Number : 845-356-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2008
Last Update Date : 01/04/2016

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Directions to “ SHIVANI PUROHIT MD” Practice Location

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