MR. SHIVAS GILOTRA


Address: 805 Oberlin Road, Ste 200, Raleigh, NC 27604
Phone: 9193224722

MR. SHIVAS GILOTRA (NPI# 1972969913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972969913
Entity Type Individual
Full Name MR. SHIVAS GILOTRA
Credential FNP-C
Practice Address 805 Oberlin Road
Ste 200
Raleigh
NC 27604
Mailing Address 2717 Belmont View Loop
Cary
NC 27519-7725
Practice Telephone 9193224722
Mailing Telephone 5042512006
Enumeration Date 2016-01-06
Last Update Date 2020-07-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP08554 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 2413384 05
MS 01106379 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1514 Jefferson Hwy, New Orleans, LA 701212429 5042512006
4104 Surles Ct Ste 11, Durham, NC 277038239 9199411911

Office Location

Street Address 805 OBERLIN ROAD
STE 200
City RALEIGH
State NC
Zip Code 27604

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City RALEIGH
Zip Code 27604

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Dataset Information

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.

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