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DR. DODDACHALLOR MATT SHIVAKUMAR M.D.,
NPI 1356311351
Internal Medicine in Hodgenville, KY

Active since January 24, 2006
908 S LINCOLN BLVD, HODGENVILLE, KY 42748(270) 358-8650(270) 358-0084 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Doddachallor Matt Shivakumar M.d., NPPES

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

DR. DODDACHALLOR MATT SHIVAKUMAR M.D., (NPI 1356311351) is an individual internal medicine provider in Hodgenville, Kentucky, licensed in Kentucky (KY20452) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1356311351
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DODDACHALLOR MATT SHIVAKUMARCredential: M.D.,
Location Address908 S LINCOLN BLVDHodgenville, KY 42748-1702
Mailing Address908 S Lincoln BlvdHodgenville, KY 42748-1702 · (270) 358-8650 · Fax (270) 358-0084
Phone(270) 358-8650
Fax(270) 358-0084
Sole ProprietorYes
Enumeration DateJanuary 24, 2006
Last NPPES UpdateSeptember 8, 2010
✔ NPI 1356311351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · KY20452
Definition
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 medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
908 S LINCOLN BLVD, Hodgenville, KY 42748
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Other Identifiers 3

Medicare UPINC75162
Medicare PIN1399302KY
Medicaid64204522KY

Other Providers at the Same Location NPPES 2

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

D M SHIVAKUMAR M D P S C
Internal Medicine
908 S LINCOLN BLVD
HODGENVILLE, KY 42748
Larue County (270) 358-8650
INSIDE OUT, LLC
Community/Behavioral Health
908 S LINCOLN BLVD
HODGENVILLE, KY 42748
Larue County (270) 723-1220

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 Doddachallor Shivakumar's NPI number?

The NPI number for Doddachallor Shivakumar is 1356311351. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Doddachallor Shivakumar located?

Doddachallor Shivakumar practices at 908 S Lincoln Blvd, Hodgenville, KY 42748. The listed phone number is (270) 358-8650.

What is Doddachallor Shivakumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Doddachallor Shivakumar was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.