Healthcare Provider Details

I. General information

NPI: 1912357005
Provider Name (Legal Business Name): SHANTI AKASAPU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 LAKEVIEW CIR
COVINGTON LA
70433-7512
US

IV. Provider business mailing address

1100 POYDRAS ST STE 2500
NEW ORLEANS LA
70163-2500
US

V. Phone/Fax

Practice location:
  • Phone: 985-892-6858
  • Fax: 985-892-6965
Mailing address:
  • Phone: 504-527-9953
  • Fax: 504-527-9950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number322964
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number322964
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: