Provider Demographics
NPI:1760619654
Name:KADIAN, SHILPY (MD)
Entity Type:Individual
Prefix:
First Name:SHILPY
Middle Name:
Last Name:KADIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3247 CONSERVANCY LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-8118
Mailing Address - Country:US
Mailing Address - Phone:270-991-8186
Mailing Address - Fax:
Practice Address - Street 1:CONSERVANCY LANE
Practice Address - Street 2:3247
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-8118
Practice Address - Country:US
Practice Address - Phone:270-991-8186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35059207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine