Doctor Name: | DR. SHIV U NAVADA |
NPI Number: | 1740286327 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 16175 |
Business Practice Address: | 527 Medical Par Drive Ste 107 Bridgeport, WV - 26330 |
Business Phone Number: | 3049333843 |
Business Fax Number: | 3049333846 |
Mailing Address: | 527 Medical Park Drive, Ste 107 BRIDGEPORT |
State: | WV |
Postal Code: | 26330 |
Phone Number: | 3049333843 |
Fax Number: | 3049333846 |
NPI Enumeration Date: | 06/28/2005 |
NPI Last Update Date: | 11/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 16175 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |