Individual provider · Type 1 NPI

Jeevan Shivakumar, MD

Internal Medicine Physician · Daytona Beach, FL

NPI number 1104576149 Active

Practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Call (386) 231-1090 Map

Fax (386) 231-1092

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XME172469 (FL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1104576149

Jeevan Shivakumar, MD's National Provider Identifier is 1104576149, issued on Mar 24, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jul 23, 2025.