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

Shanta Gautham, MD

Individual provider Internal Medicine Physician · NPI 1851562375

Shanta Gautham, MD is an Internal Medicine in Grand Forks, North Dakota. Graduated from University of Missouri, Columbia School of Medicine in 2007, 19 years ago. Practices with Altru Health System, a 667-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
19
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
ND
In the registry since
2008
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

725 Hamline St - Altru Family Medicine Residency
Grand Forks, ND 58203
Phone: (701) 780-6800
Fax: (781) 744-5358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11672 (ND)

Record details

NPI number1851562375
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 13, 2008
Last updated in NPPESMarch 5, 2019

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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