Shanta A Purushotham (NPI# 1881793495, PAC ID# 6800962564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1881793495 |
| PAC ID by PECOS | 6800962564 |
| Professional Enrollment ID | I20080903000272 |
| Full Name | Shanta A Purushotham |
| Address |
711 Harvard St Brooksville FL 34601-2842 |
| Gender | F |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100264 | OAK HILL HOSPITAL |
| 100071 | BAYFRONT HEALTH BROOKSVILLE |
| Address | Phone | Organization |
|---|---|---|
| 711 Harvard St, Brooksville, FL 34601-2842 |
| Street Address |
711 HARVARD ST |
| City | BROOKSVILLE |
| State | FL |
| Zip | 34601-2842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Comi | Clinical Social Worker | 15123 Morgan Ln, Brooksville, FL 34601-1106 | |
| Deborah A Duvall | Clinical Social Worker | Cotler Healthcare and Development Inc | 1445 Howell Ave, Brooksville, FL 34601-1502 |
| Allison J Stuart | Clinical Social Worker | Cotler Healthcare and Development Inc | 1445 Howell Ave, Brooksville, FL 34601-1502 |
| Nicole H Bixler | Family Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
| Kera Marie Connolly | General Practice | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
| Brian J Bixler | Family Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
| Sisto Serafini | Internal Medicine | Osteopathic Heritage Corporation | 959 W Jefferson St, Brooksville, FL 34601-2427 |
| Jatin N Sheth | Family Medicine | Access Health Care Physicians LLC | 920 W Jefferson St, Brooksville, FL 34601-2428 |
| Christopher J Larocca | Chiropractic | 43 W Fort Dade Ave, Brooksville, FL 34601-2503 | |
| Bhupatiraju Rama R Raju | Internal Medicine | Access Health Care Physicians LLC | 750 Desoto Ave, Brooksville, FL 34601-2814 |
| Find all physicians in zip 34601 | |||
| City | BROOKSVILLE |
| Zip Code | 34601 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BROOKSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shanta A Purushotham.
| 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.