Chandra R Shivpuri, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

25431 Issued in WI

Practice address

3070 N 51St St
Suite 309
Milwaukee, WI 53210-1645

Phone

(414) 447-2674

Fax

(414) 447-2884

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366544330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 N BEACH DR",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532173665",
            "telephone_number": "414-228-6502",
            "fax_number": "414-228-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST",
            "address_2": "SUITE 309",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "414-447-2674",
            "fax_number": "414-447-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVPURI",
        "first_name": "CHANDRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "25431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30526900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cirus Kauveh Shiran, D.O.
• David Andrew Shirilla, D.O.
• Jillian Shirilla, RN
• Shirley'S House of Love LLC
• Stephanie Shiro
• Roman Shklover
• Julie Shmidheiser, OTR/L
• Adam Shoffner
• Shore Counseling and Consulting Clinic, S.C.
• Shorehaven Behavioral Health Inc

• Neonatal-Perinatal Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Neonatal-Perinatal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.