Shantha, Shanmugan

Shantha, Shanmugan is an individual health care provider with primary practice located at 900 Wilkinson St , Mandeville LA 70448-3533. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Shantha, Shanmugan can be contacted via phone (985) 624-4450.

Contact Information

Primary practice address
900 Wilkinson St Mandeville LA 70448-3533
Phone: (985) 624-4450
Fax: (985) 624-4451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD150R Louisiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD.15098R Louisiana

Profile Details

NPI number 1255341798
LBN Legal business name Shantha, Shanmugan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 31st, 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 1255341798 NPPES
Louisiana MEDICAID 1422029

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