Rajalakshmi V Shantharam (NPI# 1982786562, PAC ID# 4688770928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1982786562 |
| PAC ID by PECOS | 4688770928 |
| Professional Enrollment ID | I20070503000395 |
| Full Name | Rajalakshmi V Shantharam |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP, LLC |
| Address |
1530 N 7th St Suite 109 Terre Haute IN 47807-1057 |
| Phone Number | 8122429631 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9335135995 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150023 | UNION HOSPITAL INC |
| 150046 | TERRE HAUTE REGIONAL HOSPITAL |
| 151309 | ST. VINCENT CLAY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 1530 N 7th St, Suite 109, Terre Haute, IN 47807-1057 | 8122429631 | PROVIDENCE MEDICAL GROUP, LLC |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP, LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda West | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St C, Terre Haute, IN 47802-3558 |
| Joseph Y Abdayem | Family Medicine | Providence Medical Group, LLC | 2723 S 7th St L, Terre Haute, IN 47802-3558 |
| Imad George Koj | Internal Medicine | Providence Medical Group, LLC | 3903 S 7th St, 2e, Terre Haute, IN 47802-5710 |
| Mohammad Saiful Alam | Endocrinology | Providence Medical Group, LLC | 1600 N 3rd St, Terre Haute, IN 47804-4045 |
| Isaiah Pittman Iv | Endocrinology | Providence Medical Group, LLC | 3560 S 4th St, Terre Haute, IN 47802-5540 |
| Tony K Nasser | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Nawar F Mercho | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Henry Johannes Davis | Rheumatology | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Neil G Kabous | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Matthew H French | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Street Address |
1530 N 7TH ST SUITE 109 |
| City | TERRE HAUTE |
| State | IN |
| Zip | 47807-1057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy L Breitweiser | Family Medicine | Union Hospital Inc | 1530 N 7th St, Suite 200, Terre Haute, IN 47807-1061 |
| Alexander Izad | Ophthalmology | 1530 N 7th St, Suite 502, Terre Haute, IN 47807-1057 | |
| Melissa R Hunt | Nurse Practitioner | Union Hospital Inc | 1530 N 7th St, Suite 110, Terre Haute, IN 47807-1057 |
| Puja M Sharma | Family Medicine | Valley Professionals Community Health Center Inc | 1530 N 7th St, Suite 201, Terre Haute, IN 47807-1061 |
| Tammy S. Pearson | Nurse Practitioner | Valley Professionals Community Health Center Inc | 1530 N 7th St, Suite 201, Terre Haute, IN 47807-1061 |
| William Eric Wilson | Family Medicine | Union Hospital Inc | 1530 N 7th St, Suite 200, Terre Haute, IN 47807-1061 |
| Eugene H Epplin | Family Medicine | Valley Professionals Community Health Center Inc | 1530 N 7th St, Suite 201, Terre Haute, IN 47807-1061 |
| Steven A Mcdonald | Family Medicine | Valley Professionals Community Health Center Inc | 1530 N 7th St, Suite 201, Terre Haute, IN 47807-1061 |
| Janis Ceceil Ingebrigtsen | Family Medicine | Valley Professionals Community Health Center Inc | 1530 N 7th St, Suite 201, Terre Haute, IN 47807-1061 |
| Robert M Ehresman | Family Medicine | Valley Professionals Community Health Center Inc | 1530 N 7th St, Suite 201, Terre Haute, IN 47807-1061 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audreen Louis Singson | Internal Medicine | Union Hospital Inc | 1332 N 7th St, Union Hospital Inc Medical Group, Terre Haute, IN 47807-1004 |
| Craig Alan Knudtson | Certified Registered Nurse Anesthetist (crna) | Unified Anesthesia Services LLC | 1421 N 7th St, Terre Haute, IN 47807-1005 |
| Gara Sibley | Certified Registered Nurse Anesthetist (crna) | Unified Anesthesia Services LLC | 1421 N 7th St, Terre Haute, IN 47807-1005 |
| Jeffery E Ferguson | Certified Registered Nurse Anesthetist (crna) | Unified Anesthesia Services LLC | 1421 N 7th St, Terre Haute, IN 47807-1005 |
| Christopher L Treon | Certified Registered Nurse Anesthetist (crna) | Unified Anesthesia Services LLC | 1421 N 7th St, Terre Haute, IN 47807-1005 |
| Taminder K Singh | Anesthesiology | Unified Anesthesia Services LLC | 1421 N 7th St, Terre Haute, IN 47807-1005 |
| Grant H Hammons Iii | Obstetrics/gynecology | Union Associated Physicians Clinic LLC | 1429 No 6th St, Uap Medical Office Building, Terre Haute, IN 47807-1037 |
| Pulkit J Patel | Urology | Union Associated Physicians Clinic LLC | 1429 No 6th St, Uap Medical Office Building, Terre Haute, IN 47807-1037 |
| Leslie D Batty | Nurse Practitioner | Union Associated Physicians Clinic LLC | 1429 No 6th St, Uap Medical Office Building, Terre Haute, IN 47807-1037 |
| Monte L Cordray | Urology | Union Associated Physicians Clinic LLC | 1429 No 6th St, Uap Medical Office Building, Terre Haute, IN 47807-1037 |
| Find all physicians in zip 47807 | |||
| City | TERRE HAUTE |
| Zip Code | 47807 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | TERRE HAUTE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Rajalakshmi V Shantharam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.