SearchWest Virginia183500000X

Shashikala Sivaprakasam

NPI 1831841659 · on the registry since 2022 · sole proprietor

Practice

Address
100 21st St
Nitro, WV 25143
Phone
(304) 755-3391
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-23

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 West Virginia