SearchIllinois207RH0002X

Sushma Shivananda, MD

NPI 1285313072 · on the registry since 2023

Practice

Address
530 Ne Glen Oak
Peoria, IL 61637
Phone
(309) 624-4100
Clinicians at this address
4

Registry record

Primary taxonomy
207RH0002X
207RH0002X
Also registered as
207RH0002X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois