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

Dr. Shyam Chandru Shivdasani, MD

Individual provider Family Medicine Physician · NPI 1033222468

Dr. Shyam Chandru Shivdasani, MD is an Internal Medicine in New Rochelle, New York. Qualified in 1991, 35 years ago. Practices with Lawrence Medical Associates PC, a 228-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2006
Specialties on file
2
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

140 Lockwood Ave Ste 216
New Rochelle, NY 10801-4915
Phone: (914) 235-6900
Fax: (914) 235-7900
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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 196192 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 196192 (NY)

Record details

NPI number1033222468
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESSeptember 29, 2023
Certification dateSeptember 29, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Lawrence Medical Associates Pc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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