National Provider Identifier Database

KALUGOTLA N SHIVARAM, MD – NPI #1619959137
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

KALUGOTLA N SHIVARAM, MD
1111 W PEARCE BLVD
WENTZVILLE, MO63385-1020
Phone: 636-887-4288
Fax: 636-639-2368
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X
Pediatric Emergency Medicine 207PP0204X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for KALUGOTLA N SHIVARAM

NPI Number 1619959137
Credentials MD
Entity Individual
Enumeration date 11/18/2005
Last updated 10/06/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036086751
  • MO License #: 111383
  • IL Medicaid: 036086751
  • MO Medicaid: 207245606
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KALUGOTLA N SHIVARAM, MD

There are currently no reviews for KALUGOTLA N SHIVARAM, MD


NPIdb - Home
v2.201