DR. Van Shantharam, M.D. is a specialist in Jacksonville, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Van Shantharam, M.D. NPI is 1164497186. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2585 HERSCHEL ST
JACKSONVILLE, FL
ZIP 32204-557
Phone: (904) 388-2678
Fax: (904) 388-6776
The enumeration date for this NPI number is 2/22/2006 and was last updated on 7/8/2007.