Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PRASHAN SHANTHAKUMAR, DDS, MS
Active Sole ProprietorDR. PRASHAN SHANTHAKUMAR, DDS, MS is a Periodontology healthcare provider located in SURPRISE, Arizona. NPI 1215593868 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SURPRISE, AZ
Registration Details
- NPI Number
- 1215593868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2019 (7.2112465143017 yrs)
- Last Updated
- Aug 17, 2023
- License
-
D011814 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13733 N PRASADA PKWY STE 108SURPRISE, AZ, 853888014Browse AZ providers · Browse ZIP 85388
- Phone
- 6237773329
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. MASIH SHAHLAIE | B.D.S., M.S. | 1659452357 |
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.