SHIVANJALI SHANKARAN (NPI# 1861628364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861628364 |
| Entity Type | Individual |
| Full Name | SHIVANJALI SHANKARAN |
| Credential | MD |
| Practice Address |
825 Fairfax Ave Suite 572 Norfolk VA 23507-1914 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7574468999 |
| Practice Fax Number | 7574467922 |
| Mailing Telephone | 7574468999 |
| Mailing Fax Number | 7574467922 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036-143813 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036-143813 | IL | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
0101249722 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | PAR | 01 |
| VA | VIRGINIA PREMIER HEALTH PLAN | 1861628364 | 01 |
| VA | ANTHEM BC/BS | 456782 | 01 |
| NC | 5920094 | 05 | |
| VA | FIRST HEALTH COMMERICAL/COVENTRY HEALTH | 1861628364 | 01 |
| VA | 1861628364 | 05 | |
| VA | MULTIPLAN | PAR | 01 |
| VA | TRICARE/CHAMPUS | -032 | 01 |
| VA | OPTIMA HEALTH | 10091628 | 01 |
| VA | UNITED HEALTHCARE | 1861628364 | 01 |
| VA | USA MANAGED CARE | PAR | 01 |
| VA | VIRGINIA HEALTH NETWORK | PAR | 01 |
| VA | CORVEL | PAR | 01 |
| VA | CIGNA | PAR | 01 |
| Street Address |
825 FAIRFAX AVE SUITE 572 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538167796 | Richard Norman Willard | Obstetrics & Gynecology | 825 Fairfax Ave, Suite 310, Norfolk, VA 23507-1914 | 2005-07-12 |
| 1053930800 | Seth Warren | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-12 |
| 1235768730 | Chelsea Time Rubis | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-06 |
| 1689203317 | Kristen Mcconnell Gogoli | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-04-04 |
| 1003445040 | Mruna Jaymin Patel | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-04-02 |
| 1750919130 | Mary Elizabeth Wade | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-03-31 |
| 1982232773 | Bradley Nicolas Cotrina | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-29 |
| 1841827821 | Miles Reese | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-27 |
| 1053948083 | Colin Neils Chao | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2020-03-27 |
| 1164984290 | Una Kosarac | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1914 | 2019-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568762938 | Infectious Disease Specialists Pllc | Internal Medicine | 1518 Royale Ter, Norfolk, VA 23509-1176 | 2010-11-01 |
| 1164733911 | Udip Dahal | Internal Medicine | 825 Fairfax Ave Ste 572, Norfolk, VA 23507-1912 | 2010-06-27 |
| 1205099322 | Ursula M Kelly | Internal Medicine | 301 Riverview Ave Ste 710, Norfolk, VA 23510-1065 | 2008-07-09 |
| 1942496997 | Tahaniyat Lalani | Internal Medicine | 825 Fairfax Ave Ste 545, Norfolk, VA 23507-1914 | 2007-09-23 |
| 1437162658 | Billy B Richmond Jr. | Internal Medicine | 6161 Kempsville Cir Ste 220, Norfolk, VA 23502-3932 | 2006-08-15 |
| 1609267053 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave, Ste 710, Norfolk, VA 23510-1065 | 2015-02-06 |
| 1790174191 | Moumita Sarker | Internal Medicine | 825 Fairfax Ave Ste 572, Norfolk, VA 23507-1912 | 2015-01-22 |
| 1255777645 | Barry John Rittmann Jr. | Internal Medicine | 825 Fairfax Ave Ste 572, Norfolk, VA 23507-1912 | 2013-05-13 |
| 1346524816 | Sentara Medical Group | Internal Medicine | 850 Kempsville Rd, Ste 100f, Norfolk, VA 23502-3920 | 2011-10-03 |
| 1912217514 | Sentara Medical Group | Internal Medicine | 850 Kempsville Rd, Suite 100f, Norfolk, VA 23502-3920 | 2010-10-15 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.