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

Shivani Sureshchandra Thaker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104743525

Shivani Sureshchandra Thaker is a Student in an Organized Health Care Education/Training Program in South Miami, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone: (305) 284-7761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence TRN45639 (FL)

Record details

NPI number1104743525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address6001 Sw 70th St Apt 336, South Miami, FL 33143-3426

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