Shivam A Champaneri, MD
Internal Medicine, Endocrinology, Diabetes & Metabolism in Alexandria, VA. Individual provider (NPI-1).
NPI number1932321981
StatusActive
Last updated in NPPESOct 6, 2022
Details
- NPI
- 1932321981
- Entity type
- Individual (NPI-1)
- Name
- Shivam A Champaneri
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2007
- Certification date
- Oct 6, 2022
- Last updated
- Oct 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 0101253867 | VA | Yes |
| 207R00000X | Internal Medicine | 0101253867 | VA | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | D0072073 | MD |
Practice location
6354 Walker Ln Ste 400Alexandria, VA 22310-3252
Phone 571-472-7322 · Fax 571-472-7323
Mailing address
6354 Walker Ln Ste 400Alexandria, VA 22310-3252
Phone 571-472-7322 · Fax 571-472-7323
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