Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAYA PRASAD SHANMUGAM, MD
ActiveJAYA PRASAD SHANMUGAM, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in BARTLESVILLE, Oklahoma. NPI 1013466598 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · BARTLESVILLE, OK
Registration Details
- NPI Number
- 1013466598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2016 (9.9026323987069 yrs)
- Last Updated
- Nov 7, 2024
- Licenses
-
310210 (LA)R-10460 (IA)04-43900 (KS)
Practice Information
- Address
-
3400 E FRANK PHILLIPS BLVD STE 301BARTLESVILLE, OK, 740062439Browse OK providers · Browse ZIP 74006
- Phone
- 9185826800
- Fax
- 9185826060
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.