Dr SHIVA A MATHURA is a male medical professional, specializing in Family Medicine. He graduated in 2010.
SOUTHWEST VOLUSIA HEALTHCARE CORPORATION
190 N CHARLES RICHARD BEALL BLVD
SUITE 103
DEBARY
FL
327132271
Tel: 3869177670
| Npi | 1912247719 |
| Pac Id | 0648413120 |
| Professional Enrollment Id | I20130903000022 |
| Last Name | MATHURA |
| First Name | SHIVA |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHWEST VOLUSIA HEALTHCARE CORPORATION |
| Group Practice Pac Id | 0446153308 |
| Number Of Group Practice Members | 32 |
| Line 1 Street Address | 190 N CHARLES RICHARD BEALL BLVD |
| Line 2 Street Address | SUITE 103 |
| Marker Of Address Line 2 Suppression | |
| City | DEBARY |
| State | FL |
| Zip Code | 327132271 |
| Phone Number | 3869177670 |
| Hospital Affiliation Ccn 1 | 100072 |
| Hospital Affiliation Lbn 1 | FLORIDA HOSPITAL FISH MEMORIAL |
| Hospital Affiliation Ccn 2 | 100045 |
| Hospital Affiliation Lbn 2 | FLORIDA HOSPITAL DELAND |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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