PUSHPA SHIVARAM

MARSHFIELD, WI
NPI1306192604
Former NamePUSHPALATHA KRISHNAPPA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0202X Pediatrics, Pediatric Cardiology
(Licence: GA  080240)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-07-24
Last Update Date2018-07-06
Business Address
-- PUSHPA SHIVARAM MD
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5267
Mailing Address
-- PUSHPA SHIVARAM MD
1120 15TH STREET DEPARTMENT OF PEDIATRICS
AUGUSTA, GA 30912-0004
Phone number: 706-721-8623