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

Individual provider Dermatology Physician · NPI 1689569105

Kavya Shivaram, MD is a Dermatology Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
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

751 N Rutledge St Ste 2300
Springfield, IL 62702-4968
Phone: (217) 545-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 125086214 (IL)

Record details

NPI number1689569105
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing addressPo Box 19644, Springfield, IL 62794-9644

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