DR. Van Shantharam, M.D.
NPI #1164497186 in Jacksonville, Florida
Provider Information
- NPI Number
- 1164497186
- Entity Type
- Individual
- Name
- DR. Van Shantharam, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Feb 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2585 HERSCHEL ST
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32204-4557
- Phone
- (904) 388-2678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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