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

Individual provider Nephrology Physician · NPI 1417963224

Ganesh B Shidham, MD is a Nephrology in Columbus, Ohio. Qualified in 1981, 45 years ago. Practices with Osu Internal Medicine LLC, a 1,145-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
45
Licensed in
OH
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

543 Taylor Ave Fl 3
Columbus, OH 43203-1278
Phone: (614) 293-4837
Fax: (614) 293-3125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 35.081621 (OH)

Record details

NPI number1417963224
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Osu Internal Medicine Llc — 1145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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