DR. SHWETHA SUDHEENDRA SHRIVATSA (NPI# 1699000158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699000158 |
| Entity Type | Individual |
| Full Name | DR. SHWETHA SUDHEENDRA SHRIVATSA |
| Credential | M.D. |
| Practice Address |
4510 Frankford Ave Philadelphia PA 19124-3602 |
| Mailing Address |
740 Route 1 N Iselin NJ 08830-2652 |
| Practice Telephone | 2157441302 |
| Practice Fax Number | 2157442544 |
| Mailing Telephone | 7323623840 |
| Mailing Fax Number | 7323623850 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD447014 | PA | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
25MA10108100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
4510 FRANKFORD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19124-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821064015 | Andrew R Quint | Internal Medicine | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2006-02-27 |
| 1922650415 | Johnnie C Young Sr. | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2019-07-15 |
| 1265098768 | Katherine Ierardi | Registered Nurse | 4510 Frankford Ave, Philadelphia, PA 19124 | 2019-05-10 |
| 1306319504 | Christopher Aguilar | Registered Nurse | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2019-01-10 |
| 1831661362 | Kevin Williams Jr. | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-12-21 |
| 1508334186 | Danielle Mangiaracina | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-11-13 |
| 1518442086 | Christine J Kim | Dentist | 4510 Frankford Ave, Philadelphia, PA 19124 | 2018-10-01 |
| 1770080160 | Tiffany Filomena Interra | Counselor | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2018-04-11 |
| 1770019481 | Patricia Richardson | Counselor | 4510 Frankford Ave, 2nd Floor, Philadelphia, PA 19124-3602 | 2017-05-02 |
| 1912447533 | Tiffany Reid | Nurse Practitioner | 4510 Frankford Ave, Philadelphia, PA 19124-3602 | 2017-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
| 1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
| 1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
| 1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
| 1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
| 1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
| Find all providers in zip 19124 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669683256 | Advanced Women's Care PC | Obstetrics & Gynecology | 10752 Bustleton Ave Unit C, Philadelphia, PA 19116-3367 | 2007-05-24 |
| 1700928611 | Planned Parenthood Southeastern Pennsylvania | Obstetrics & Gynecology | 1211 Chestnut St, Suite 405, Philadelphia, PA 19107-4103 | 2007-02-14 |
| 1023176484 | Marjorie Angert | Obstetrics & Gynecology | 1101 Market St, 9th Floor, Philadelphia, PA 19107-2934 | 2006-12-05 |
| 1104900125 | Dorothy Czarnecki | Obstetrics & Gynecology | 9412 Academy Road, Philadelphia, PA 19114 | 2006-10-25 |
| 1487661070 | Sharan Abdul-rahman | Obstetrics & Gynecology | 322 E Montana St, Philadelphia, PA 19119-2009 | 2006-08-03 |
| 1184643355 | Women's Health, Inc. | Obstetrics & Gynecology | 3336 Aldine St, Philadelphia, PA 19136-3802 | 2006-07-19 |
| 1437177235 | Emerita Torres Gueson | Obstetrics & Gynecology | 3336 Aldine Street, Philadelphia, PA 19136-3802 | 2006-07-18 |
| 1093745549 | Sung Kyu Henry Oh | Obstetrics & Gynecology | 1820 S Broad St, Philadelphia, PA 19145-2303 | 2006-07-03 |
| 1942276050 | Patricia Hughes Jones | Obstetrics & Gynecology | 5235 Walnut St, Philadelphia, PA 19139-4027 | 2006-02-28 |
| 1326040767 | Dinah Gonzalez-braile | Obstetrics & Gynecology | 12265 Townsend Road, Philadelphia, PA 19154-1214 | 2005-08-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19124 |
Please comment or provide details below to improve the information on DR. SHWETHA SUDHEENDRA SHRIVATSA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.