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

Shiva Nallur, MD

Individual provider Family Medicine Physician · NPI 1780706663

Shiva Nallur, MD is a Family Practice in Little Rock, Arkansas. Qualified in 2003, 23 years ago. Practices with St Vincent Medical Group, a 247-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
23
Licensed in
AR
In the registry since
2007
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

10301 Kanis Rd Ste 1
Little Rock, AR 72205-6205
Phone: (501) 562-4838
Fax: (501) 562-1958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E5407 (AR)

Record details

NPI number1780706663
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice St Vincent Medical Group — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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