Individual
DR. SHESHA KALYAN KATAKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01073004A
IN
208000000X
Pediatrics Physician
MD.202228
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000833441
ANTHEM BCBS
IN
01
—
151020017
MEDICARE PTAN
IN
05
—
201188170
—
IN
Enumeration date
05/19/2008
Last updated
01/20/2023
Update your record
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