Tharackandathil Ooran Shanavas
MD | Pediatrics | Male
Tharackandathil Ooran Shanavas, MD is a Adrian, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tharackandathil Ooran Shanavas is
901 Kimole Ln, Suite B-1, Adrian, Michigan - 49221-1491. He can be contacted on phone at
517-263-6733 and fax number 517-263-7148.
Tharackandathil Ooran Shanavas is a sole proprietor of his business.
NPI number (Unique professional ID) for Tharackandathil Ooran Shanavas is
1932158136 which was assigned by NPPES on 08 May, 2006 and it was last updated on 11 Dec, 2012.
Tharackandathil Ooran Shanavas license number is
TS034422 for Pediatrics (208000000X) in Michigan.
Tharackandathil Ooran Shanavas 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:
Tharackandathil Ooran Shanavas basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tharackandathil Ooran Shanavas |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Tharackandathil Ooran Shanavas 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 : | 901 Kimole Ln, Suite B-1
Adrian, MI, 49221-1491
United States |
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| Phone Number : | 517-263-6733 |
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| Fax Number : | 517-263-7148 |
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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 : | 1932158136 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 May, 2006 |
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| Last Updated On : | 11 Dec, 2012 |
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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 Tharackandathil Ooran Shanavas are as mentioned. Primary taxonomy code for Tharackandathil Ooran Shanavas, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | TS034422 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Tharackandathil Ooran Shanavas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 03744 | Other | MI | PARAMOUNT |
| 115715 | Other | MI | CARE CHOICE |
| 18632 | Other | MI | HEALTH PLAN OF MI |
| 350D676100 | Other | MI | BLUE CROSS AND BLUE SHIEL |
| 5450691 | Other | MI | AETNA |
| 1099349 | MEDICAID | MI | |
| 119775 | Other | MI | GREAT LAKES OF MI |
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 : | 901 Kimole Ln, Suite B-1
Adrian, MI, 49221-1491
United States |
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| Phone Number : | 517-263-6733 |
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| Fax Number : | 517-263-7148 |
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Business Location:
Patients can refer following map for directions to
Tharackandathil Ooran Shanavas practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.