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

Individual provider Internal Medicine Physician · NPI 1588655450

Dr. Deepak A Shivaram, MD is an Internal Medicine in Lancaster, California. Qualified in 1988, 38 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
38
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44215 15th St W Ste 111
Lancaster, CA 93534-5503
Phone: (661) 949-5941
Fax: (661) 949-5871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A62177 (CA)

Record details

NPI number1588655450
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 31, 2005
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020
Mailing address44215 15th St W, Ste. 111, Lancaster, CA 93534-4014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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