Individual provider · Type 1 NPI

Shivalli Dharmendra Rai, PA

Surgical Physician Assistant · Evansville, IN

NPI number 1861365876 Active

Practice location

901 Saint Marys Dr Ste 300
Evansville, IN 47714-0521

Call (812) 473-2642 Map

Mailing address

901 Saint Marys Dr
Evansville, IN 47714-0520

Other practice locations

  • 901 Saint Marys Dr, Evansville, IN 47714-0520 · (812) 473-2642

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10005089A (IN)

Surgical Physician Assistant: Definition to come...

27 other providers at this address

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About NPI 1861365876

Shivalli Dharmendra Rai, PA's National Provider Identifier is 1861365876, issued on Sep 25, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Evansville, IN. The record was last updated on Nov 20, 2025.