Shantha Grace Pandian, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD0000034812 Issued in TN

Practice address

James H.Quillen/Vamc
Corner of Sydney and Lamont
Mountain Home, TN 37684

Phone

(423) 926-1171

Fax

(423) 979-3431

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194757096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HUNTERS RIDGE RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048329",
            "telephone_number": "423-929-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H.QUILLEN/VAMC",
            "address_2": "CORNER OF SYDNEY AND LAMONT",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171",
            "fax_number": "423-979-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDIAN",
        "first_name": "SHANTHA",
        "middle_name": "GRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000034812",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 88967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Olsen
• Mavis J Onks, RD,LDN
• Miguel Antonio Ossorio, M.D.
• Barbara Tan King Overbay, MD
• Lisa Paderna, PH.D.
• Lynsey Jade Parker, PHARMD
• Sarvatit Patel, DO
• Shivani Patel
• Ben W Peeples, MA
• Laura Pepper-Weiler, LSW

• Psychiatry Physician in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.