Sanagaram S Shantharam, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A52010 Issued in CA

Practice address

7065 N Maple Ave
Ste 102
Fresno, CA 93720-8013

Phone

(559) 322-0887

Fax

(559) 322-0888

NPI assigned

Oct 2, 2006

Last updated

May 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1558454546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 N MAPLE AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208013",
            "telephone_number": "559-322-0887",
            "fax_number": "559-322-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 N MAPLE AVE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208013",
            "telephone_number": "559-322-0887",
            "fax_number": "559-322-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTHARAM",
        "first_name": "SANAGARAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A52010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siobhan Kay Shanahan-Ortega, LPT
• Elizabeth Grace Shanahan, MD
• Shane Seibert, D.C. a Professional Chiropractic Corporation
• Lisa Ann Shanoian, M.S, R.D.
• Rohini Shantharam, M.D.
• Haley Yvonne Shapazian
• Paul Shapazian
• Emile Sharifi, M.D.
• Samantha Armenta Sharkey, LVN
• Sharma Nexus Inc

• Orthopaedic Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.