Tharika Shraddha, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

MT222480 Issued in PA

Practice address

1201 S Grand Blvd
Saint Louis, MO 63104-1016

Phone

(484) 724-3415

NPI assigned

Jul 15, 2021

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 names 1

• Fnu Tharika Shraddha Rajmohan Professional name

Medicare fee-for-service enrollment

Enrolled in MO

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

Interoperability endpoints

• Direct secure messaging: trajmohan2016057@direct.trinity-health.org
• Direct secure messaging: tshraddha512821@direct-ehr-ssmhc.com

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1700458908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 LINDELL BLVD APT 3050",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083281",
            "telephone_number": "484-724-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041016",
            "telephone_number": "484-724-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADDHA",
        "first_name": "THARIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT222480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FNU",
            "last_name": "THARIKA SHRADDHA RAJMOHAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sharon Marie Shoults, M.S.
• Show Me Med Trans Solutions LLC
• Melissa Nicole Showalter, LCSW
• Michael Shoykhet, MD
• Adam Arnold Shpigel, M.D.
• Shawn Shramek
• Bailey Padgett Shredl, FNP-C
• Ekta Shrestha, MD
• Sapana Shrestha, DDS
• Anna Shreves, MSW, LCSW

• Student in an Organized Health Care Education/Training Program in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.