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

Shamini Mylvaganam

Individual provider Obstetrics & Gynecology Physician · NPI 1396133252

Shamini Mylvaganam is an Obstetrics/Gynecology in Idaho Falls, Idaho. Graduated from Boston University School of Medicine in 2013, 13 years ago. Practices with Women's Healthcare Associates, PA, a 15-clinician group and accepts Medicare assignment. Licensed in Idaho and New York.

Years since qualifying
13
Trained at
Boston University School of Medicine
Licensed in
ID, NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2990 Cortez Ave
Idaho Falls, ID 83404-7554
Phone: (208) 535-0440
Fax: (208) 535-0550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 8461173 (ID)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 277644 (NY)

Record details

NPI number1396133252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2014
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Women'S Healthcare Associates, P.A. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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