THARACKANDATHIL OORAN SHANAVAS MD NPI 1932158136

NPI Information

NPI: 1932158136
Provider Name: THARACKANDATHIL OORAN SHANAVAS, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
901 KIMOLE LN
SUITE B-1
ADRIAN, MI
ZIP 49221
Phone: (517) 263-6733
Get Directions

Tharackandathil Ooran Shanavas, MD is a pediatrics in Adrian, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Tharackandathil Ooran Shanavas, MD NPI is 1932158136. 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:

901 KIMOLE LN
SUITE B-1
ADRIAN, MI
ZIP 49221-491
Phone: (517) 263-6733
Fax: (517) 263-7148

The enumeration date for this NPI number is 5/8/2006 and was last updated on 12/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		TS034422	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03744	OTHER	MICHIGAN	PARAMOUNT
2	115715	OTHER	MICHIGAN	CARE CHOICE
3	18632	OTHER	MICHIGAN	HEALTH PLAN OF MI
4	350D676100	OTHER	MICHIGAN	BLUE CROSS AND BLUE SHIEL
5	A79803	MEDICARE UPIN	MICHIGAN
6	5450691	OTHER	MICHIGAN	AETNA
7	1099349	MEDICAID	MICHIGAN
8	119775	OTHER	MICHIGAN	GREAT LAKES OF MI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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