Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Phanindra Antharam, MD

Individual provider Cardiovascular Disease Physician · NPI 1811483381

Dr. Phanindra Antharam, MD is a Cardiovascular Disease (Cardiology) in Provo, Utah. Qualified in 2022, 4 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

395 W Bulldog Blvd
Provo, UT 84604-3311
Phone: (801) 357-7081
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 395 W Cougar Blvd, Provo, UT 84604-3311 — (801) 357-7081

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 14195116-1205 (UT)

Record details

NPI number1811483381
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2018
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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