Individual
SANAGARAM S SHANTHARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7065 N MAPLE AVE, STE 102, FRESNO, CA 93720-8013
(559) 322-0887
(559) 322-0888
Mailing address
7065 N MAPLE AVE, STE 102, FRESNO, CA 93720-8013
(559) 322-0887
(559) 322-0888
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A52010
CA
Other
Enumeration date
10/02/2006
Last updated
05/13/2008
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