Provider Demographics
NPI:1356498083
Name:SIKAND, SHIVANI (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIVANI
Middle Name:
Last Name:SIKAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHIVANI
Other - Middle Name:
Other - Last Name:LUTHRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2165 S FINLEY RD
Mailing Address - Street 2:#1306
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148
Mailing Address - Country:US
Mailing Address - Phone:630-776-7354
Mailing Address - Fax:
Practice Address - Street 1:2165 S FINLEY RD
Practice Address - Street 2:#1306
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6474
Practice Address - Country:US
Practice Address - Phone:630-776-7354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96622208000000X
IL36114771208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics