Shantha Rajakrishnamurthy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301038190 Issued in MI

Practice address

36040 Dequindre Rd
Sterling Heights, MI 48310

Phone

(586) 939-9160

Fax

(586) 939-0162

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: shantharajakrishnamurthy@sp.allscriptsdirect.net

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1255313201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36040 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-939-9160",
            "fax_number": "586-939-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36040 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-939-9160",
            "fax_number": "586-939-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAKRISHNAMURTHY",
        "first_name": "SHANTHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301038190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2927666",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SR038190",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raimon Salim OD PLLC
• Kelly Lynn Raimondo, BSN
• Heather Raitz, LMSW
• Raja Lewis MD PC
• Rabeeh Rajab
• Tejasvi Rajwat, PT
• Michael John Rakowski, CRNA
• Ruby Ramamoorthy
• Rubenora M. Raman, M.D.
• Mohitha Ramineni, MD

• Internal Medicine Physician in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.