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NPI Code Detail

MEDICARE: DR. SHANKAR C SANKA M.D.

MEDICARE: DR. SHANKAR C SANKA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician200301411NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00138558OTHERNCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12121248OTHERNCMAMSI
22566510OTHERNCBCBS
32385633OTHERNCUNITED HEALTHCARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
67422547OTHERNCAETNA
7D1187OTHERNCMEDCOST

General Provider Information

NPI Number : 1851395495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANKAR C SANKA M.D.
Provider Business Mailing Address
First Line : 303 CAVAYO TRL
Second Line :
City : HELOTES
State : TX
Zip : 78023-4497
Country : US
Telephone Number : 210-372-9030
Fax Number : 210-468-1878
Provider Business Practice Location Address
First Line : 12446 WEST AVE STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-2530
Country : US
Telephone Number : 210-729-2262
Fax Number : 210-729-7290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 07/22/2021

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