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NPI Code Detail

MEDICARE: DR. RAJALAKSHMI V SHANTHARAM M.D.

MEDICARE: DR. RAJALAKSHMI V SHANTHARAM 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
1207V00000XObstetrics & Gynecology Physician01062513IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000822184OTHERINANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982786562
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJALAKSHMI V SHANTHARAM M.D.
Provider Business Mailing Address
First Line : 221 S 6TH ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47807-4214
Country : US
Telephone Number : 812-242-3115
Fax Number :
Provider Business Practice Location Address
First Line : 1429 N 6TH ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47807-1019
Country : US
Telephone Number : 812-242-3115
Fax Number : 812-235-9580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 08/25/2025

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