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

Shakthishree Kandaswamy

Individual provider Internal Medicine Physician · NPI 1427431147

Shakthishree Kandaswamy is an Infectious Disease in Glendale, Arizona. Qualified in 2014, 12 years ago. Practices with Glendale Infectious Diseases PLLC, a 4-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, California and Illinois.

Years since qualifying
12
Licensed in
AZ, CA, IL
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

5601 W Eugie Ave Ste 204
Glendale, AZ 85304-1258
Phone: (623) 250-1419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 — (510) 727-3256
  • 701 N 1st St, Springfield, IL 62702-3757 — (217) 545-8000

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 69856 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125066454 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence A157620 (CA)

Record details

NPI number1427431147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Glendale Infectious Diseases Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Glendale