Pushpa Shivaram
MD | Pediatric Cardiology | Female
Pushpa Shivaram, MD is a Marshfield, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Cardiology. Pushpa Shivaram is also known as
Pushpalatha Krishnappa.
Current practice location of Pushpa Shivaram is
1000 N Oak Ave, Marshfield, Wisconsin - 54449-5703. She can be contacted on phone at
715-387-5267 and fax number 715-389-3142.
Pushpa Shivaram is a sole proprietor of her business.
NPI number (Unique professional ID) for Pushpa Shivaram is
1306192604 which was assigned by NPPES on 24 Jul, 2012 and it was last updated on 06 Jul, 2018.
Pushpa Shivaram license number is
080240 for Pediatrics Pediatric Cardiology (2080P0202X) in Georgia.
Pushpa Shivaram provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Pushpa Shivaram basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Pushpa Shivaram |
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| Other Name : | Pushpalatha Krishnappa |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Pushpa Shivaram 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 : | 1000 N Oak Ave
Marshfield, WI, 54449-5703
United States |
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| Phone Number : | 715-387-5267 |
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| Fax Number : | 715-389-3142 |
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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 : | 1306192604 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2012 |
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| Last Updated On : | 06 Jul, 2018 |
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Medicare Participation:
Pushpa Shivaram participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1658503693 |
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| Medicare Enrollment ID : | I20181009002897 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2005 |
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| Accepts Medicare? | Yes. Pushpa Shivaram accepts medicare insurance. |
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Group Practice Association:
Pushpa Shivaram is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Pushpa Shivaram is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Au Medical Associates Inc | 9931013513 | 577 | 1120 15th St
Augusta, GA - 309120004
Ph: 7067216029 | Yes |
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 Pushpa Shivaram are as mentioned. Primary taxonomy code for Pushpa Shivaram, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 080240 | GA |
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 : | 1120 15th Street, Department Of Pediatrics
Augusta, GA, 30912-0004
United States |
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| Phone Number : | 706-721-8623 |
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| Fax Number : | 706-721-1459 |
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Business Location:
Patients can refer following map for directions to
Pushpa Shivaram 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.