DR. SUSHMA RAO SHIRAVANTHE (NPI# 1366909657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366909657 |
| Entity Type | Individual |
| Full Name | DR. SUSHMA RAO SHIRAVANTHE |
| Credential | BS, PHARMD, BCPS |
| Practice Address |
3801 Miranda Ave Palo Alto CA 94304-1207 |
| Mailing Address |
521 Aspen Pl East Palo Alto CA 94303-1348 |
| Practice Telephone | 6504935000 |
| Mailing Telephone | 2487674249 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 26026674A | IN | Pharmacy Service Providers |
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26026674A | IN | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26026674A | IN | Pharmacy Service Providers |
| Street Address |
3801 MIRANDA AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518028760 | Grace Jone | Pharmacist | 2000 El Camino Real, Palo Alto, CA 94306-1123 | 2006-12-12 |
| 1366535171 | Mylinh Ho | Pharmacist | 3801 Miranda Ave # P-119, Palo Alto, CA 94304-1207 | 2006-10-02 |
| 1265423636 | Shahnaz Peyman | Pharmacist | 887 Warren Way, Palo Alto, CA 94303-3628 | 2005-11-03 |
| 1023543717 | Nidhu Baby Abraham | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2017-05-01 |
| 1952513301 | Courtney Eugene Lang | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2007-05-05 |
| 1295824274 | Bonnie J Marty | Pharmacist | 3801 Miranda Ave, Pharmacy Department - Mail Code 119, Palo Alto, CA 94304-1207 | 2006-10-11 |
| 1609963982 | Dennis Loc Vinh Lee | Pharmacist | 3801 Miranda Ave, Department of Pharmacy, Palo Alto, CA 94304-1207 | 2006-10-06 |
| 1154415578 | Ahmad Golchin | Pharmacist | 3801 Miranda Ave, Va Hospital, Pharmacy Dept, Palo Alto, CA 94304 | 2006-10-02 |
| 1497854954 | Joanne Luong | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-09-21 |
| 1134158637 | Helen Kyuwon Park | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2006-06-30 |
| Find all providers in PALO ALTO | ||||
Please comment or provide details below to improve the information on DR. SUSHMA RAO SHIRAVANTHE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.