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

Ashwin Ballupet Shivakumar, MDMS

Individual provider Internal Medicine Physician · NPI 1972773950

Ashwin Ballupet Shivakumar, MDMS is an Internal Medicine Physician in Urbana, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

611 W Park St Forum Ll
Urbana, IL 61801-2500
Phone: (217) 383-3110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (IL)

Record details

NPI number1972773950
Entity typeIndividual (Type 1)
GenderMale
Credentials MDMS
Sole proprietorYes
NPI enumeratedMarch 6, 2008
Last updated in NPPESMarch 6, 2008
Mailing address611 W Park St, Forum Ll, Urbana, IL 61801-2500

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