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Contact Information

SUNIL M SHIVARAM, MD
655 E FOOTHILL BLVD
CLAREMONT, CA91711
 Phone: 909-624-8077
 Fax: 909-624-1467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for SUNIL M SHIVARAM · (Male)

NPI # 1942393566
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A62267
  • CA Medicaid 00A622670
  • CA Medicaid 1438533
Hospital affiliation(s)
  • POMONA VALLEY HOSPITAL MEDICAL CENTER - (Acute Care)
    1798 N GAREY AVE
    POMONA, CA 91767
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.

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