Provider Demographics
NPI:1679643639
Name:AKULA, SHIVA KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIVA
Middle Name:KUMAR
Last Name:AKULA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3600 PRYTANIA ST
Mailing Address - Street 2:SUITE #65
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3696
Mailing Address - Country:US
Mailing Address - Phone:504-899-2376
Mailing Address - Fax:
Practice Address - Street 1:3600 PRYTANIA ST
Practice Address - Street 2:SUITE #65
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3628
Practice Address - Country:US
Practice Address - Phone:504-899-2376
Practice Address - Fax:504-899-2377
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2021-09-27
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Provider Licenses
StateLicense IDTaxonomies
LA08303R207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1119644Medicaid
LAH61481Medicare UPIN
LA1119644Medicaid