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SHANMUGAN SHANTHA
OTHER
SHANMUGAN SHANTHA is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1255341798. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4880614833. The primary specialty is PSYCHIATRY. The organization is THERAPEUTIC PARTNERS LLC. The address is 60 LOUIS PRIMA DR A, , COVINGTON, LA, 704335903. The zip code is 704335903.
Nation Provider ID | 1255341798 |
---|---|
PAC ID by PECOS | 4880614833 |
Professional Enrollment ID | I20051206000102 |
Name | SHANMUGAN SHANTHA |
Medical School Name | OTHER |
Graduation Year | 1973 |
Primary Specialty | PSYCHIATRY |
All secondary specialties | |
Organization Name | THERAPEUTIC PARTNERS LLC |
Group Practice PAC ID | 941460471 |
Number of Group Practice members | 4 |
Address | 60 LOUIS PRIMA DR A, , COVINGTON, LA, 704335903 |
Hospital affiliation LBN | |
Graduation Year | 1973 |
Contact Number | 5044306116 |
Email Address | [Show_Email_ID] |
Phone Number | [Show_Phone] |
Website | [Show_Website] |