Shashidhar Divakaruni Cardiovascular Disease (cardiology)
1730 45th Ave, Munster, IN 46321-3915


Shashidhar Divakaruni is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1902936578. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4183518608. The medical credential is MD. The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY). The organization is COMMUNITY CARE NETWORK INC. The address is 1730 45th Ave, Munster, IN 46321-3915. The zip code is 46321.


Shashidhar Divakaruni · 1730 45th Ave, Munster, IN 46321-3915

Nation Provider ID 1902936578
PAC ID by PECOS 4183518608
Professional Enrollment ID I20040213000247
Last Name DIVAKARUNI
First Name SHASHIDHAR
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1983
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Primary Specialty COMMUNITY CARE NETWORK INC
Phone Number 2198369677
Group Practice PAC ID 3678737012
Number of Group Practice Members 252
Address 1730 45TH AVE
MUNSTER, IN 463213915
Claims Based Hospital Affiliation