Individual
RAMESH SHATAGOPAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 232-0564
(812) 242-3543
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3175
(812) 242-3543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01048847A
IN
207RC0000X
Cardiovascular Disease Physician
36111955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224022
ANTHEM
—
01
—
0182822
US DEPT OF LABOR
—
01
—
060068689
RAILROAD MCARE PALAMETTO
—
05
—
200374390
—
IN
01
—
200374390A
MOLINA HEALTHCARE MCAID
IN
05
—
200374390L
—
IN
05
—
200374390Z
—
IN
01
—
351904269120
CARESOURCE MEDICAID
—
01
—
471334
HEALTHLINK
—
01
—
7690262001
CIGNA
—
01
—
778240
AETNA
—
01
—
7789240
AETNA
—
01
—
N289136
HARMONY HEALTH PLAN IND
—
01
—
P00393763
RAILROAD MEDICARE
—
01
—
P00828502
RAILROAD MEDICARE
IN
01
—
P00855812
RAILROAD MEDICARE
IN
Enumeration date
08/31/2006
Last updated
03/14/2013
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