Provider Demographics
NPI:1598540890
Name:SHIVA CAREMORE INC
Entity Type:Organization
Organization Name:SHIVA CAREMORE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:VIVEKKUMAR
Authorized Official - Middle Name:VASANTBHAI
Authorized Official - Last Name:DHANANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-747-5857
Mailing Address - Street 1:1304 W FOOTHILL BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-4666
Mailing Address - Country:US
Mailing Address - Phone:909-747-5857
Mailing Address - Fax:
Practice Address - Street 1:1304 W FOOTHILL BLVD STE D
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-4666
Practice Address - Country:US
Practice Address - Phone:909-747-5857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy