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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME53102 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Latha Shivashankar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 058765600 | MEDICAID | FL | |
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. Last updated on 08 January, 2024.