SHIVANI SUNDARAM MD
NPI 1699560094
Student in an Organized Health Care Education/Training Program in Pasadena, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 14, 2025

100 W CALIFORNIA BLVD, PASADENA, CA 91105(626) 397-5166 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shivani Sundaram Md NPPES

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

SHIVANI SUNDARAM MD (NPI 1699560094) is an individual student in an organized health care education/training program in Pasadena, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1699560094

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHIVANI SUNDARAMCredential: MD

Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010

Mailing Address100 W California BlvdPasadena, CA 91105-3010 · (626) 397-5166

Phone(626) 397-5166

Sole ProprietorNo

Enumeration DateApril 14, 2025

NPPES CertifiedApril 14, 2025

✔ NPI 1699560094 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.

100 W CALIFORNIA BLVD, Pasadena, CA 91105

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