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

Mabbu Gajapathy Shivaprasad, MD

Individual provider Family Medicine Physician · NPI 1083795850

Mabbu Gajapathy Shivaprasad, MD is a Family Practice in Bellefontaine, Ohio. Qualified in 1983, 43 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
43
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Logan Family Medical Center Llc 2210 Timber Trl
Bellefontaine, OH 43311
Phone: (937) 593-3151
Fax: (937) 593-5438
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-072257 (OH)

Record details

NPI number1083795850
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesPSYCHIATRY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bellefontaine