Valli N Shanmugam, M. D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

49293 Issued in FL

Practice address

3215 NW 47TH PL
Gainesville, FL 32605-1185

Phone

(352) 378-8483

NPI assigned

Oct 16, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1588949002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 NW 47TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051185",
            "telephone_number": "352-378-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 NW 47TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051185",
            "telephone_number": "352-378-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANMUGAM",
        "first_name": "VALLI",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "49293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shands Teaching Hospital and Clinics Inc
• Shands/Solantic Joint Venture, LLC (CareSpot-Archer Road)
• Shands/Solantic Joint Venture, LLC
• Shands/Solantic Joint Venture, LLC (CareSpot-Gainesville)
• Julie Shaner, M.D.
• Kate Shannahan, PA-C
• Shannon River Enterprises,Inc. (the optical shop)
• Erica Shannon
• Karen Wang Shannon, M.D.
• Molly Catherine Shannon

• General Practice Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.