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

VIDYA SHANKARAN, MD

Active

VIDYA SHANKARAN, MD is a Plastic Surgery healthcare provider located in BELLEVILLE, Illinois. NPI 1528214624 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · BELLEVILLE, IL

Registration Details

NPI Number
1528214624
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2008 (18.032685138237 yrs)
Last Updated
Nov 22, 2019
Licenses
20106 (NH)
125050724 (IL)
036134925 (IL)

Practice Information

Address
340 W LINCOLN ST
STE 500
BELLEVILLE, IL, 622201900
Browse IL providers · Browse ZIP 62220
Phone
6182777400
Primary Specialty
Plastic Surgery
208200000X
Additional Specialty
General Surgery
Additional Specialty
Plastic Surgery

Other Plastic Surgery Providers in BELLEVILLE, IL

Name Credential NPI
DR. RICHARD JAY HEHMANN M.D. 1215922067
ROBERT C. WANLESS M.D. 1548258288
ELIZABETH RENAKER-JANSEN DO 1427204965
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.