Provider Demographics
NPI:1114245966
Name:DEVA, SHIKHA NIGAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIKHA
Middle Name:NIGAM
Last Name:DEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:SHIKHA
Other - Middle Name:CHANDRA
Other - Last Name:NIGAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12111 DARNESTOWN RD
Mailing Address - Street 2:MEDSTAR MEDICAL GROUP
Mailing Address - City:DARNESTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2205
Mailing Address - Country:US
Mailing Address - Phone:301-926-3095
Mailing Address - Fax:301-926-3096
Practice Address - Street 1:12111 DARNESTOWN RD
Practice Address - Street 2:MEDSTAR MEDICAL GROUP
Practice Address - City:DARNESTOWN
Practice Address - State:MD
Practice Address - Zip Code:20878-2205
Practice Address - Country:US
Practice Address - Phone:301-926-3095
Practice Address - Fax:301-926-3096
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-04
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0075988207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine