Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mysore Shivaram, MD, SC

Organization Specialist · NPI 1639355050

Mysore Shivaram, MD, SC is a Specialist in Franklin, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008

Practice location Address checks out

7400 W Rawson Ave Ste 225
Franklin, WI 53132-8278
Phone: (414) 425-8232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 22232 (WI)

Record details

NPI number1639355050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mysore Shivaram — Proprietor · (414) 425-8232
NPI enumeratedJanuary 16, 2008
Last updated in NPPESJanuary 14, 2013
Mailing address7400 W Rawson Ave, Suite 225, Franklin, WI 53132-8278

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