SHIVA SHANKAR NATARAJAN , NPI 1730132788 — GERMANTOWN (TN)

NPI 1730132788

13+ Years Experience Individual

SHIVA SHANKAR NATARAJAN

05/19/2006
PROVIDER ENUMERATION DATE
03/25/2010
LAST UPDATE DATE
1730132788
NPI NUMBER

About SHIVA SHANKAR NATARAJAN

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

SHIVA SHANKAR NATARAJAN is a provider established in GERMANTOWN, TN. The NPI number of SHIVA SHANKAR NATARAJAN is 1730132788 and was assigned on 05/19/2006. The practitioners primary taxonomy code is: 2084N0400X with license number: 31974 TN .

Mailing address

  • City: GERMANTOWN
  • State: TN
  • Postal code: 381381751
  • Phone: 9014050275
  • Fax: 9019226840
  • Address: 7645 WOLF RIVER CIR STE 100

Primary Practice Address

  • Region : GERMANTOWN, TN
  • NPI : 1730132788
  • Phone : 9014050275
  • Postalcode : 381381751
  • Address : 7645 WOLF RIVER CIR SUITE 100

Additional identifiers

  • Identifier: 339702002
  • Code / Type : 1 - other
  • Identifier state :
  • Identifier issuer: CIGNA

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 4170697
  • Code / Type : 1 - other
  • Identifier state : TN
  • Identifier issuer : BC BS TN

Provider taxonomy - Psychiatry & Neurology

  • Taxonomy code: 2084N0400X
  • License number: 31974
  • License state: TN

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Contacts:

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  • SHIVA SHANKAR NATARAJAN
  • Address : 7645 WOLF RIVER CIR SUITE 100
  • Region : GERMANTOWN, TN
  • NPI : 1730132788
  • Phone : 9014050275
  • Postalcode : 381381751

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address7645 WOLF RIVER CIR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE 100
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameGERMANTOWN
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTN
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code381381751
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9014050275
The telephone number associated with the location address of the provider being identified.
NPI1730132788
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 12084N0400X
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Provider Enumeration Date05/19/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated03/25/2010
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)SHIVA SHANKAR NATARAJAN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address7645 WOLF RIVER CIR STE 100
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameGERMANTOWN
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameTN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code381381751
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9014050275
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number9019226840
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #12084N0400X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Provider License Number 131974
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1TN
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1339702002
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier Issuer 1CIGNA
Other Provider Identifier Issuer #1
Other Provider Identifier 24170697
Other Provider Identifier #2
Other Provider Identifier Type 21
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2TN
Other Provider Identifier State #2
Other Provider Identifier Issuer 2BC BS TN
Other Provider Identifier Issuer #2
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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