MRS. SHAKTI AVA MAHAPATRA (NPI# 1104822055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104822055 |
| Entity Type | Individual |
| Full Name | MRS. SHAKTI AVA MAHAPATRA |
| Credential | MD |
| Practice Address |
415 S Palm Canyon Dr Palm Springs CA 92262-7303 |
| Practice Telephone | 7607734560 |
| Practice Fax Number | 7607734561 |
| Mailing Telephone | 7607734560 |
| Mailing Fax Number | 7607734561 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A37578 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
415 S PALM CANYON DR |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-7303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871093856 | Tobi Sherman | Peer Specialist | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2018-02-16 |
| 1801291539 | Eisenhower Medical Center | General Acute Care Hospital | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2014-10-23 |
| 1700029410 | Mamta Mehta | Internal Medicine | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2009-04-10 |
| 1972697829 | Brian M Cleary | Internal Medicine | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2006-10-03 |
| 1558370338 | Seymour M Young | Psychiatry & Neurology | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2006-08-07 |
| 1326007535 | Donald Gardenier | Nurse Practitioner | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2006-03-17 |
| 1215914221 | Jorge Gutierrez | Internal Medicine | 415 S Palm Canyon Dr, Palm Springs, CA 92262-7303 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649616020 | Evan Schwenk | Obstetrics & Gynecology | 1180 N Indian Canyon Dr Ste 300, Palm Springs, CA 92262-4858 | 2013-05-13 |
| 1982789962 | Alexander Martin Wernicke | Obstetrics & Gynecology | 1276 Otono Dr, Palm Springs, CA 92264-8445 | 2006-10-26 |
| 1780772350 | Larry Michael Berkowitz | Obstetrics & Gynecology | 580 W Stevens Rd, Palm Springs, CA 92262-4226 | 2006-10-10 |
| 1700879749 | Daniel Noah Sacks | Obstetrics & Gynecology | 3199 Lake Worth Rd Ste B1, Palm Springs, FL 33461-3652 | 2005-08-24 |
| 1548610439 | Gabriel Evaristo | Obstetrics & Gynecology | 1100 N Palm Canyon Dr Ste 212, Palm Springs, CA 92262-4426 | 2016-06-21 |
| 1174888200 | Lara Hasan | Obstetrics & Gynecology | 1100 N Palm Canyon Dr, Suite 212, Palm Springs, CA 92262-4414 | 2012-07-04 |
| 1215216460 | Lillian J Vargas | Obstetrics & Gynecology | 4671 S Congress Ave Ste 100b, Palm Springs, FL 33461-4783 | 2011-08-05 |
| 1265750202 | Cindy Nakhla | Obstetrics & Gynecology | 1180 N Indian Canyon Dr, Suite W300, Palm Springs, CA 92262-4800 | 2010-05-14 |
| 1255587630 | Derakhsh Fozouni M.d. Ob/gyn & Associates A Medical Corporation | Obstetrics & Gynecology | 555 E Tachevah Dr, Suite 2w-103, Palm Springs, CA 92262-5750 | 2008-08-18 |
| 1700044187 | Maria Teresa Datan Benitez | Obstetrics & Gynecology | 1100 N Palm Canyon Dr, Suite 212, Palm Springs, CA 92262-4414 | 2008-06-02 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on MRS. SHAKTI AVA MAHAPATRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.