THARACKANDATHIL O. SHANAVAS MD – NPI #1932158136
Pediatrics

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 SHANAVAS is a physician located in ADRIAN, MI. NPPES has assigned the NPI number 1932158136 to THARACKANDATHIL SHANAVAS on May 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 13 years ago on Dec 11, 2012. 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 THARACKANDATHIL SHANAVAS below.

NPI Profile for
THARACKANDATHIL O. SHANAVAS

NPI Number
1932158136
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
THARACKANDATHIL O. SHANAVAS
Credentials
MD
Primary location
901 KIMOLE LN
SUITE B-1
ADRIAN, MI 49221-1491
Phone: (517) 263-6733 Fax: (517) 263-7148
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for THARACKANDATHIL SHANAVAS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMI5450691
OTHERBLUE CROSS AND BLUE SHIELMI350D676100
OTHERCARE CHOICEMI115715
OTHERGREAT LAKES OF MIMI119775
OTHERHEALTH PLAN OF MIMI18632
OTHERPARAMOUNTMI03744
MEDICAIDMI1099349
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
208000000X
- Pediatrics (Primary)
MI TS034422

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.