Pai, Shantharam

Pai, Shantharam is an individual health care provider with primary practice located at 511 Amigos Dr Ste C , Redlands CA 92373-6283. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Pai, Shantharam can be contacted via phone (909) 799-7111.

Contact Information

Primary practice address
511 Amigos Dr Ste C Redlands CA 92373-6283
Phone: (909) 799-7111
Fax: (909) 498-5154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X A442860 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A442860 California

Profile Details

NPI number 1053317537
LBN Legal business name Pai, Shantharam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated May 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053317537 NPPES
California Other 00A442860 BLUE SHIELD OF CA
California Other CA131554 BLUE SHIELD OF CA
California MEDICAID 00A442861 BLUE SHIELD OF CA
California Other 080101190 BLUE SHIELD OF CA

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