DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. VAN SHANTHARAM, M.D.

Active

DR. VAN SHANTHARAM, M.D. is a Specialist healthcare provider located in JACKSONVILLE, Florida. NPI 1164497186 is currently active in the NPPES registry. Verify at CMS.

Specialist · JACKSONVILLE, FL

Registration Details

NPI Number
1164497186
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2006 (20.45676097222 yrs)
Last Updated
Jul 8, 2007
License
ME0035945 (FL)

Practice Information

Address
2585 HERSCHEL ST
JACKSONVILLE, FL, 322044557
Browse FL providers · Browse ZIP 32204
Phone
9043882678
Fax
9043886776
Primary Specialty
Specialist
174400000X

Other Specialist Providers in JACKSONVILLE, FL

Name Credential NPI
HORTENCIA H. ESPINO M.D. 1932102035
DR. BRADLEY M TRAN M.D. 1366445991
EMILY HOFF-SULLIVAN M.D. 1649272956
DR. LORRAINE H DAJANI M.D. 1437153707
DR. C. TED MONTGOMERY M.D. 1093717159
OMAR E FIGUEROA MD 1568468122
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.