Dr. Shesha Kalyan Katakam
MD, MPH | Pediatrics | Male
Dr. Shesha Kalyan Katakam, MD, MPH is a Ferguson, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Shesha Kalyan Katakam is
3878 Pershall Rd, Ferguson, Missouri - 63135-1246. He can be contacted on phone at
314-839-7500.
Dr. Shesha Kalyan Katakam is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Shesha Kalyan Katakam is
1578720439 which was assigned by NPPES on 19 May, 2008 and it was last updated on 20 Jan, 2023.
Dr. Shesha Kalyan Katakam license number is
01073004A for Pediatrics (208000000X) in Indiana.
Dr. Shesha Kalyan Katakam is a pediatrician who 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.
Complete Profile:
Dr. Shesha Kalyan Katakam basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Shesha Kalyan Katakam |
|---|
| Credential : | MD, MPH |
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| Gender : | Male |
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Business Address:
Dr. Shesha Kalyan Katakam address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3878 Pershall Rd
Ferguson, MO, 63135-1246
United States |
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| Phone Number : | 314-839-7500 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1578720439 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 May, 2008 |
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| Last Updated On : | 20 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shesha Kalyan Katakam are as mentioned. Primary taxonomy code for Dr. Shesha Kalyan Katakam, MD, MPH is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD.202228 | LA |
| 208000000X | Pediatrics | Yes | 01073004A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shesha Kalyan Katakam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000833441 | Other (non-Medicare) | IN | Anthem BCBS |
| 151020017 | Other (non-Medicare) | IN | Medicare PTAN |
| 201188170 | MEDICAID | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1509 STATE ST,
LA PORTE, IN, 46350-3115
United States | LA PORTE, IN | 219-324-3431 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | Shesha.Katakam@laportehosp.cernerdirect.com
AMR direct address | No affiliation |
|
| 1509 State St,
LA Porte, IN, 46350-3115
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1509 State St
La Porte, IN, 46350-3115
United States |
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| Phone Number : | 219-324-3431 |
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| Fax Number : | 219-362-3802 |
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Business Location:
Patients can refer following map for directions to
Dr. Shesha Kalyan Katakam practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.