SHANTHA KESAVULU (NPI# 1942236567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942236567 |
| Entity Type | Individual |
| Full Name | SHANTHA KESAVULU |
| Credential | M.D. |
| Practice Address |
4242 E Southcross Blvd Ste 6 San Antonio TX 78222-3728 |
| Practice Telephone | 2103334638 |
| Mailing Telephone | 2103334638 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | GO742 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4242 E SOUTHCROSS BLVD STE 6 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78222-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1801045257 | Perly Lee Sheffield | Case Manager/Care Coordinator | 5518 Elk Hunter Tr., San Antonio, TX 78222 | 2008-09-10 |
| 1689822447 | James Edward Williams | Family Medicine | 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 | 2008-09-05 |
| 1508025693 | Southcross Surgical Center, LLC | Clinic/Center | 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 | 2008-06-04 |
| 1184839235 | Michael C Key | Dentist | 3875 E Southcross, Ste F, San Antonio, TX 78222 | 2007-05-11 |
| 1245359017 | Celia S Faz | Home Health Aide | 5511 Firestar Trail, San Antonio, TX 78222 | 2007-03-29 |
| 1730272501 | Best Fit Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 3859 E Southcross, Ste H, San Antonio, TX 78222 | 2006-10-02 |
| 1326150806 | Angela E Adams | Nurse Practitioner | 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 | 2006-08-31 |
| 1063435105 | Mark David Mutschink | Physical Therapist | 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-07-26 |
| 1548210636 | Cameron Brent Elam | Physical Therapist | 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-05-11 |
| Find all providers in zip 78222 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1821606062 | Alamo City Healthy Kids and Families, Pllc | Pediatrics | 1919 Oakwell Farms Pkwy Ste 125, San Antonio, TX 78218-1720 | 2020-07-14 |
| 1508403585 | Michelle Ann Portis | Pediatrics | 502 Madison Oak Dr Ste 245, San Antonio, TX 78258-4086 | 2019-12-09 |
| 1144782970 | Kelly L Thomas | Pediatrics | 10011 Ink Wells Dr, San Antonio, TX 78250-7011 | 2019-04-01 |
| 1407384605 | Whitney Taylor | Pediatrics | 8606 Village Dr Unit A, San Antonio, TX 78217-5506 | 2017-06-01 |
| 1811428147 | Karen Lee Garay | Pediatrics | 13750 San Pedro Ave Ste 150, San Antonio, TX 78232-4382 | 2017-03-27 |
| 1538510664 | Suzanna Elizabeth Maupin | Pediatrics | 7355 Barlite Blvd Ste 201, San Antonio, TX 78224-1340 | 2016-06-30 |
| 1366804866 | Allison Wells Morales | Pediatrics | 11085 Bandera Rd # 102, San Antonio, TX 78250-6814 | 2016-03-23 |
| 1275995771 | Pedro Zavala | Pediatrics | 11503 Nw Military Hwy Ste 113, San Antonio, TX 78231-1998 | 2016-03-23 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78222 |
Please comment or provide details below to improve the information on SHANTHA KESAVULU.
| 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.