Latha Shivashankar

MD | Pediatrics | Female

Latha Shivashankar, MD is a Jacksonville, Florida based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Latha Shivashankar is 11512 Lake Mead Ave, Suite 201, Jacksonville, Florida - 32256-9680. She can be contacted on phone at 904-998-1448 and fax number 904-998-1450. Latha Shivashankar is a sole proprietor of her business.
NPI number (Unique professional ID) for Latha Shivashankar is 1801845607 which was assigned by NPPES on 09 May, 2006 and it was last updated on 29 Nov, 2012. Latha Shivashankar license number is ME53102 for Pediatrics (208000000X) in Florida.
Latha Shivashankar is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Latha Shivashankar basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Latha Shivashankar
Credential :MD
Gender :Female
Sole Proprietor : Yes
Business Address:
Latha Shivashankar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :11512 Lake Mead Ave, Suite 201
Jacksonville, FL, 32256-9680
United States
Phone Number :904-998-1448
Fax Number :904-998-1450
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1801845607
NPI Entity Type : Individual
First Enrolment Date : 09 May, 2006
Last Updated On : 29 Nov, 2012
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Latha Shivashankar are as mentioned. Primary taxonomy code for Latha Shivashankar, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYesME53102FL
Legacy Identifiers:
Other legacy medical identifiers of Latha Shivashankar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
058765600MEDICAIDFL
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :11512 Lake Mead Ave, Suite 201
Jacksonville, FL, 32256
United States
Phone Number :904-998-1448
Fax Number :904-998-1450
Business Location:
Patients can refer following map for directions to Latha Shivashankar practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.