Individual provider · Type 1 NPI
Manjunatha Madapura Shivashankar, M.B.B.S
Student in an Organized Health Care Education/Training Program · Scranton, PA
NPI number
1093643538
Active
Practice location
501 South Washington Svenue
Scranton, PA 18505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1093643538
Manjunatha Madapura Shivashankar, M.B.B.S's National Provider Identifier is 1093643538, issued on May 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scranton, PA. The record was last updated on May 13, 2026.