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1740407634
SHIVPRASAD D. NIKAM
WILKES BARRE, PA
NPI
1740407634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: PA MD425982)
Enumeration Date
2007-04-20
Last Update Date
2020-06-16
Business Address
Dr. SHIVPRASAD D. NIKAM M.D.
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711-0027
Phone number: 570-820-6020
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Mailing Address
Dr. SHIVPRASAD D. NIKAM M.D.
100 N ACADEMY AVE
DANVILLE, PA 17822-3034
Phone number: 570-271-6144
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