| Shyam C. Shivdasani, Md Internal Medicine Pllc | |
|
140 Lockwood Ave Suite #216 New Rochelle NY 10801-4915 | |
| (914) 235-6900 | |
| (914) 235-7900 |
| Full Name | Shyam C. Shivdasani, Md Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 140 Lockwood Ave, New Rochelle, New York |
| Authorized Official Name and Position | Shaleen Makhijani Shivdasani (VP) |
| Authorized Official Contact | 5162421430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shyam C. Shivdasani, Md Internal Medicine Pllc 21 Reni Rd Manhasset NY 11030-1222 Ph: (516) 869-3210 | Shyam C. Shivdasani, Md Internal Medicine Pllc 140 Lockwood Ave Suite #216 New Rochelle NY 10801-4915 Ph: (914) 235-6900 |
| NPI Number | 1336221696 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 05/29/2008 |
| Medicare PECOS PAC ID | 4880667724 |
|---|---|
| Medicare Enrollment ID | O20040818000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336221696 | NPI | - | NPPES |
| 3359089 | Other | NY | AETNA HMO # |
| 3C2846 | Other | NY | HEALTHNET (PHS) # |
| 1896297 | Other | NY | CIGNA # |
| WP738 | Other | NY | OXFORD # |
| 01851505 | Medicaid | NY | |
| 0203874 | Other | NY | GHI NON-PAR # |
| 196192 | Other | NY | HIP # |
| 2592106 | Other | NY | GHI # |
| DE7187 | Other | NY | MEDICARE RAILROAD |
| SS6192 | Other | NY | ATLANTIS HEALTHPLAN # |
| 002918 | Other | NY | CONNECICARE # |
| 5387184 | Other | NY | AETNA PPO # |
| 163AJ3 | Other | NY | EMPIRE BC/BS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 196192 (New York) | Secondary |
| 207R00000X | Internal Medicine | 196192 (New York) | Primary |
| Provider Name | Shyam C Shivdasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033222468 PECOS PAC ID: 3779575535 Enrollment ID: I20040401000149 |
Mount Vernon Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Memorial Hwy, Suite 1-4, New Rochelle, NY 10801 Phone: 914-633-5700 Fax: 914-633-0446 | |
Ira J. Sutton Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Quaker Ridge Rd, Suite 101, New Rochelle, NY 10804 Phone: 914-636-0077 Fax: 914-636-5116 | |
Nathan Rosenfeld M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Lockwood Ave, New Rochelle, NY 10801 Phone: 914-636-4030 Fax: 914-636-4095 | |
Phyllis Mandel Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Lockwood Ave, Suite 16, New Rochelle, NY 10801 Phone: 914-235-2352 Fax: 914-235-3763 | |
Montefiore At 150 Lockwood Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Lockwood Ave, New Rochelle, NY 10801 Phone: 914-633-7870 | |
Metro Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 466 Main St, New Rochelle, NY 10801 Phone: 914-633-1020 Fax: 914-633-3235 | |
Shukla Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Lockwood Ave Ste 30, New Rochelle, NY 10801 Phone: 914-636-2611 Fax: 914-636-0987 |