Shreedhar Ramesh Abhyankar, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OOC428697 Issued in CA

Practice address

81709 Doctor Carreon Blvd Ste C1
Indio, CA 92201-5577

Phone

(760) 347-0440

Fax

(760) 342-0747

NPI assigned

Feb 2, 2007

Last updated

Jan 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Shreedhar Ramesh Abhyankar Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1861530669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81709 DOCTOR CARREON BLVD STE C1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-347-0440",
            "fax_number": "760-342-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DOCTOR CARREON BLVD STE C1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-347-0440",
            "fax_number": "760-342-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABHYANKAR",
        "first_name": "SHREEDHAR",
        "middle_name": "RAMESH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OOC428697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHREEDHAR",
            "last_name": "ABHYANKAR",
            "middle_name": "RAMESH",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Specialist in Indio, CA
• Providers in Indio, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.