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Shantharam Pai, MD
Family Medicine Physician in Redlands, California
NPI 1053317537

Shantharam Pai is a Family Medicine Physician based in Redlands, CA. Shantharam Pai practices in Redlands, CA and has the professional credentials of MD. The NPI Number for Shantharam Pai is 1053317537 and holds a License No. A442860 (California).

The current practice location address for Shantharam Pai is 511 Amigos Dr Ste C, Redlands, CA and can be reached out via phone at 909-799-7111 and via fax at 909-498-5154.

Location: 511 Amigos Dr Ste C, Redlands, CA, 92373-6283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053317537
Provider Name
Shantharam Pai
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
511 Amigos Dr Ste C, Redlands, CA, 92373-6283
Phone Number
909-799-7111
Fax Number
909-498-5154
Provider Enumeration Date
06/21/2005
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A442860 01 CA BLUE SHIELD OF CA
CA131554 01 CA MEDICARE
00A442861 05 CA
080101190 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
511 Amigos Dr Ste C
City
Redlands
State
California
Zip
92373-6283
Phone Number
909-799-7111
Fax Number
909-498-5154
person
Provider Business Mailing Address Details
Address
511 Amigos Dr Ste C
City
Redlands
State
California
Zip
92373-6283
Phone Number
909-799-7111
Fax Number
909-498-5154
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A442860 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
A442860 (California)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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