SHIVAM A CHAMPANERI (NPI# 1932321981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932321981 |
| Entity Type | Individual |
| Full Name | SHIVAM A CHAMPANERI |
| Credential | MD |
| Practice Address |
6355 Walker Ln Suite 405 Alexandria VA 22310-3245 |
| Practice Telephone | 7037196715 |
| Practice Fax Number | 7037195762 |
| Mailing Telephone | 7037196715 |
| Mailing Fax Number | 7037195762 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
0101253867 | VA | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
D0072073 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 043171100 | 05 |
| Street Address |
6355 WALKER LN SUITE 405 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22310-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465912 | Michael R Abidin | Otolaryngology | 6355 Walker Ln, Ste 308, Alexandria, VA 22310-3247 | 2005-05-31 |
| 1083253058 | Jacqueline O'neil | Student in an Organized Health Care Education/Training Program | 6355 Walker Ln, Alexandria, VA 22310-3245 | 2019-12-23 |
| 1275046708 | Kringle Pllc Kathleen Ann Mchale | Orthopaedic Surgery | 6355 Walker Ln, Alexandria, VA 22310-3245 | 2017-11-06 |
| 1598211443 | Leigh Crooks | Nurse Practitioner | 6355 Walker Ln, Suite 505, Alexandria, VA 22310-3245 | 2016-08-31 |
| 1851744999 | Tyler Jennings Alvare | Physician Assistant | 6355 Walker Ln, Ste 401, Alexandria, VA 22310-3245 | 2016-07-13 |
| 1083072318 | Brandon Robert Beattie | Physician Assistant | 6355 Walker Ln, Suite 313, Alexandria, VA 22310-3245 | 2016-02-01 |
| 1013387497 | Chelsea Kemlage | Physical Therapist | 6355 Walker Ln, Suite 204, Alexandria, VA 22310-3245 | 2015-09-29 |
| 1689044208 | Sarah Mcclure | Nurse Practitioner | 6355 Walker Ln, #401, Alexandria, VA 22310-3245 | 2015-09-25 |
| 1649649864 | Ann Hinds | Audiologist-Hearing Aid Fitter | 6355 Walker Ln, Suite 411, Alexandria, VA 22310-3245 | 2015-09-17 |
| 1164890182 | Sara Sanders | Physician Assistant | 6355 Walker Ln, Suite 507, Alexandria, VA 22310 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389732 | Katarzyna Piwek | Behavior Technician | 6281 Franconia Road, Suite B, Alexandria, VA 22310 | 2019-08-01 |
| 1073011672 | Roberto Arturo Hernandez Zapata | Dentist | Avenida Paseo De Los Heroes 9333-4, Tijuana, BAJA CALIFORNIA 22310 | 2018-01-29 |
| 1336542042 | Franconia Pediatrics Associates | Clinic/Center | 6078 Franconia Road Ste A/b, Alexandria, VA 22310 | 2014-10-08 |
| 1548663347 | Eric Mestas Dds PC | Clinic/Center | 5115 Franconia Rd Ste -d, Alexandria, VA 22310 | 2014-10-07 |
| 1982036331 | Meike Nadine Marshall | Physical Therapist | 6355 Walker Ln Ste 404, Alexandria, VA 22310 | 2013-08-07 |
| 1649448093 | Manchester Lakes Medical | Internal Medicine | 7015 E Manchester Blvd, Alexandria, VA 22310 | 2008-02-19 |
| 1629250311 | Kingstowne Dental Care PC | Dentist | 7015 A Macnhester Blvd, Alexandria, VA 22310 | 2007-12-04 |
| 1881890648 | Neal Kevin Maru | Psychiatry & Neurology | 6355 Walker Lane, 313, Alexandria, VA 22310 | 2007-06-26 |
| 1518188259 | Hospital Mexico | General Acute Care Hospital | Avenida De La Amistad 9077, Colonia Federal, Tijuana, BAJA CALIFORNIA 22310 | 2007-05-01 |
| 1114078185 | Melissa Jean Arnold | Counselor | 6015 Bushhill Dr, Alexandria, VA 22310 | 2007-01-16 |
| Find all providers in zip 22310 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1740568039 | Oksana Davydov | Internal Medicine | 6355 Walker Ln Ste 405, Alexandria, VA 22310-3250 | 2011-08-03 |
| 1386781870 | Tahira Habib | Internal Medicine | 6355 Walker Ln, Suite 411, Alexandria, VA 22310-3245 | 2007-01-31 |
| 1265593388 | Diabetes & Endocrine Associates, PC | Internal Medicine | 6300 Stevenson Ave, Suite D, Alexandria, VA 22304-3576 | 2006-12-12 |
| 1760564132 | A. David Bernanke | Internal Medicine | 4660 Kenmore Ave Ste 604, Alexandria, VA 22304-1300 | 2006-10-19 |
| 1699885202 | Maria Mercedes Garcia | Internal Medicine | 4660 Kenmore Ave, Ste 514, Alexandria, VA 22304 | 2006-08-30 |
| 1528079241 | Anuradha Puri Dua | Internal Medicine | 8101 Hinson Farm Rd, Suite 219, Alexandria, VA 22306 | 2006-08-10 |
| 1336160837 | Albert Coo | Internal Medicine | 6300 Stevenson Ave, Suite D, Alexandria, VA 22304-3576 | 2006-07-21 |
| 1790712941 | Marguerite M Ragone | Internal Medicine | 8101 Hinson Farm Rd, #219, Alexandria, VA 22306 | 2006-06-26 |
| 1699702860 | Howard M Lando | Internal Medicine | 8101 Hinson Farm Rd, #219, Alexandria, VA 22306-3403 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360503 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 | 2019-11-08 |
| 1568954535 | Warren Memorial Hospital, Inc. | Internal Medicine | 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 | 2018-06-05 |
| 1457891145 | Ultra Health LLC | Internal Medicine | 13401 Gov G C Peery Hwy, Pounding Mill, VA 24637-4010 | 2017-03-01 |
| 1720407851 | Cesar M. Plazas-guzman | Internal Medicine | 713 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1614 | 2014-04-16 |
| 1639426497 | Miriam Hinaa Ahmad | Internal Medicine | 103 W Broad St Ste 120, Falls Church, VA 22046-4231 | 2012-08-11 |
| 1023372620 | Paul Sumner Strumph | Internal Medicine | 2350 Merriman Way Rd, Moneta, VA 24121-3186 | 2012-06-27 |
| 1811256381 | Silpa P.k. Joshi | Internal Medicine | 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 | 2012-05-03 |
| 1518244854 | Bon Secours St. Francis Medical Center Inc | Internal Medicine | 3660 Boulevard Ste G, Colonial Heights, VA 23834-1345 | 2011-11-15 |
| 1235427592 | Neeharika Repaka | Internal Medicine | 1830 Town Center Dr Ste 306, Reston, VA 20190-3217 | 2011-07-20 |
| 1851699227 | Sentara Medical Group | Internal Medicine | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2011-03-08 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22310 |
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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.