Shyam Shivdasani MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

196192 Issued in NY

Legal business name

SHYAM SHIVDASANI MD PLLC

Practice address

800 Community Dr
Suite 207
Manhasset, NY 11030-3822

Phone

(516) 426-7750

Fax

(516) 627-0464

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Shaleen Shivdasani

Title

VP

Phone

(516) 242-1430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1306225669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RENI RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301222",
            "telephone_number": "516-869-3210",
            "fax_number": "516-627-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMMUNITY DR",
            "address_2": "SUITE 207",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303822",
            "telephone_number": "516-426-7750",
            "fax_number": "516-627-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM SHIVDASANI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "SHIVDASANI",
        "authorized_official_first_name": "SHALEEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "516-242-1430"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "196192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Stuart Shulman, M.D.
• Jessica Shulman, PT,DPT
• Patricia Shulman
• Joana Shurdho, PA
• Vlad Shknevskiy Shusterman
• Isabel Sia
• Michelle Siao, PHD
• Karen Lynne Siegel, PHD
• Richard C Siegmann, MD
• Sarah Siemers, NP

• Internal Medicine Physician in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.