Shivani Sureshchandra Thaker

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

TRN45639 Issued in FL

Practice address

7031 SW 62ND Ave
South Miami, FL 33143-4701

Phone

(305) 284-7761

NPI assigned

Jul 6, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1104743525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SW 70TH ST APT 336",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 SW 62ND AVE",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434701",
            "telephone_number": "305-284-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "SHIVANI",
        "middle_name": "SURESHCHANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN45639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Marina Tellez Antunez
• Viviana Michelle Tenorio, ARNP
• Charlotte Ruth Terrell, MFT
• Diana Tershakovec, ARNP
• Meghan Ashley Terzulli, PSY.D., LSP
• Hein Linn Thant, MBBS, MD
• Sashikumar Tharmarajah, MD
• Babitha Thatiparthi, M.D.
• The Foot & Ankle Institute of South Florida, Inc
• The Foot and Ankle Institute of South Florida, Inc.

• Student in an Organized Health Care Education/Training Program in South Miami, FL
• Providers in South Miami, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.