| NPI | 1023579349 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2019-03-28 |
| Last Updated | 2024-10-14 |
| Mailing Address | Po Box 415348 Boston, MA 02241-5348 United States Phone: (002) 258-8858 | Fax: (508) 334-1977 📍 View Map |
| Primary Practice Address | 55 Lake Ave N Worcester, MA 01655-0002 United States Phone: (617) 414-5951 | Fax: (617) 414-9251 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2084N0400X – Psychiatry & Neurology, Neurology | MA | 1019345 |
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About NPI 1023579349
Shivkumar Bhadola is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1023579349. The primary specialty listed is Psychiatry & Neurology, Neurology. The provider is located in Worcester, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-03-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1023579349?
NPI 1023579349 belongs to Shivkumar Bhadola, a Psychiatry & Neurology, Neurology in Worcester, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1023579349 active?
The current status of NPI 1023579349 in the NPPES registry is Active. The record was last updated on 2024-10-14.
What specialty is NPI 1023579349?
NPI 1023579349 is classified under the taxonomy Psychiatry & Neurology, Neurology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1023579349?
You can verify NPI 1023579349 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1023579349?
The primary practice address on file for NPI 1023579349 is 55 Lake Ave N, Worcester, MA 01655-0002. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1023579349 issued?
NPI 1023579349 was first issued (enumerated) on 2019-03-28. The NPPES record was last updated on 2024-10-14.
Practice Location Map
Shivkumar Bhadola is located at 55 Lake Ave N, Worcester, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Shivkumar Bhadola. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1023579349. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatry & Neurology, Neurology | 1019345 | MA |