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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962898361

Shivani R Pathak, MD is an Otolaryngology in Lone Tree, Colorado. Graduated from Virginia Commonwealth University, School of Medicine in 2015, 11 years ago. Practices with Integrated Ear Nose and Throat PC, a 9-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
11
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
CO
In the registry since
2015
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

9960 Sky Ridge Ave
Lone Tree, CO 80124-5644
Phone: (303) 706-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence DR.0067168 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962898361
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address9960 Sky Ridge Ave, Lone Tree, CO 80124-5644

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Integrated Ear Nose And Throat Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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