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DR. SHIVKUMAR SHIVAPPA HATTI MD., MBA

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1841297975

Individual Registrant:
DR. SHIVKUMAR SHIVAPPA HATTI MD., MBA
Gender: M

Location and contact information for practice:
107 CHESLEY DR UNIT 4 MEDIA, PA 19063-1760 US
Tel: 610-891-9024  Fax: 610-891-9699

Contact information for business:
107 CHESLEY DR UNIT 4 MEDIA, PA 19063-1760 US
Tel: 610-891-9024  Fax: 610-891-9699

Registration Information:
NPI: 1841297975
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
PAMD037729L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
083401RNDPA04
B35273PA02
847252PA05




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