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

Dr. Van Shantharam, MD

Individual provider Specialist · NPI 1164497186

Dr. Van Shantharam, MD is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

2585 Herschel St
Jacksonville, FL 32204-4557
Phone: (904) 388-2678
Fax: (904) 388-6776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0035945 (FL)

Record details

NPI number1164497186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2585 Herschel St, Jacksonville, FL 32204-4557

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