SHANTA GAUTHAM MD – NPI #1851562375
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

SHANTA GAUTHAM is a physician located in GRAND FORKS, ND. NPPES has assigned the NPI number 1851562375 to SHANTA GAUTHAM on March 13, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name SHANTA SUBRAMANIAN. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 7 years ago on Mar 05, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANTA GAUTHAM below.

NPI Profile for
SHANTA GAUTHAM

NPI Number
1851562375
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SHANTA GAUTHAM
Former Name: SHANTA SUBRAMANIAN
Credentials
MD
Primary location
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203
Phone: (701) 780-6800 Fax: (781) 744-5358
Mailing address
2401 DEMERS AVE
GRAND FORKS, ND 58201
Phone: (701) 780-1891 Fax: (781) 744-5358
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 ND 11672

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE - Graduated 2007
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SHANTA GAUTHAM is affiliated with the following medical group(s):
  • HOSPITAL
    • ALTRU HOSPITAL
      1200 S COLUMBIA RD
      GRAND FORKS, ND 58201
  • HOME HEALTH AGENCY
    • ALTRU'S HOME HEALTH
      1380 SOUTH COLUMBIA RD
      GRAND FORKS, ND 58201

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