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

Dr. Shivam Dass, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205766417

Dr. Shivam Dass, DO is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 456-8520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205766417
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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