Tharackandathil Ooran Shanavas, MD

NPI #1932158136 in Adrian, Michigan

Provider Information

NPI Number: 1932158136
Entity Type: Individual
Name: Tharackandathil Ooran Shanavas, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: May 8, 2006
Last Updated: Dec 11, 2012

Practice Location

Address: 901 KIMOLE LN
Address 2: SUITE B-1
City: Adrian
State: Michigan
ZIP Code: 49221-1491
Phone: (517) 263-6733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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