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MR. SHIVASHANKARA SWAMY MATHIGHATTA SHIVARUDRAIAH
NPI 1154268449
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since May 04, 2026
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shivashankara Swamy Mathighatta Shivarudraiah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHIVASHANKARA SWAMY MATHIGHATTA SHIVARUDRAIAH (NPI 1154268449) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1154268449
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SHIVASHANKARA SWAMY MATHIGHATTA SHIVARUDRAIAH
Location Address4802 10TH AVEBrooklyn, NY 11219
Mailing Address1054 41 Street Apt 2g, Apt 2gBrooklyn, NY 11219
Phone(718) 283-6000
Sole ProprietorNo
Enumeration DateMay 4, 2026
✔ NPI 1154268449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
4802 10TH AVE, Brooklyn, NY 11219
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS BUZZETTA
Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8961
LOBELYS A ANICET PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-5660
CHIAMAKA MEREMETOH MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
JESSE M. GALINA
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. ABANOUB ALFY NAKHLA MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
CHRISTINE LI MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
MS. KATRINA W SOWERBY FNP
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Kings County (718) 283-7300
MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivashankara Swamy Mathighatta Shivarudraiah's NPI number?

The NPI number for Shivashankara Swamy Mathighatta Shivarudraiah is 1154268449. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Shivashankara Swamy Mathighatta Shivarudraiah located?

Shivashankara Swamy Mathighatta Shivarudraiah practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Shivashankara Swamy Mathighatta Shivarudraiah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shivashankara Swamy Mathighatta Shivarudraiah was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.