Pushpa Shivaram, MD
Pushpa Shivaram, MD is a Pediatric Medicine in Marshfield, Wisconsin. Qualified in 2005, 21 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 21
- Licensed in
- GA
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1000 N Oak AveMarshfield, WI 54449-5703
Phone: (715) 387-5267
Fax: (715) 389-3142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Cardiology Physician (primary) | Taxonomy 2080P0202X · Licence 080240 (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1306192604 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 24, 2012 |
| Last updated in NPPES | July 6, 2018 |
| Mailing address | 1120 15th Street, Department Of Pediatrics, Augusta, GA 30912-0004 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Wellstar Medical Group Llc — 3072 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Marshfield
-
Uzoma C. Okorie, MD
1000 N Oak Ave, Marshfield, WI 54449-5703 · (715) 387-5511
-
Richard Jonathan Willes, MD
1000 N Oak Ave, Marshfield, WI 54449-5703 · (715) 387-5511