| Shanthi Thangam, Md Pa | |
|
419 N Jackson Ave Odessa TX 79761-5124 | |
| (432) 337-9000 | |
| (432) 337-2545 |
| Full Name | Shanthi Thangam, Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 419 N Jackson Ave, Odessa, Texas |
| Authorized Official Name and Position | Shanthi Thangam (CEO) |
| Authorized Official Contact | 4323379000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanthi Thangam, Md Pa 419 N Jackson Ave Odessa TX 79761-5124 Ph: (432) 337-9000 | Shanthi Thangam, Md Pa 419 N Jackson Ave Odessa TX 79761-5124 Ph: (432) 337-9000 |
| NPI Number | 1134473382 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 11/08/2012 |
| Medicare PECOS PAC ID | 0547414856 |
|---|---|
| Medicare Enrollment ID | O20130213000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134473382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | K7111 (Texas) | Primary |
| Provider Name | Shanthi Thangam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417967423 PECOS PAC ID: 5597735100 Enrollment ID: I20040730000147 |
Act Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E 37th St, Ste.106, Odessa, TX 79762 Phone: 432-333-3667 Fax: 432-580-3115 | |
Permian Basin Community Centers For Mhmr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W 12th Street, Odessa, TX 79763 Phone: 432-570-3333 Fax: 432-570-3346 | |
Permian Basin Community Centers For Mhmr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W 12th Street, Odessa, TX 79763 Phone: 432-333-3265 Fax: 432-570-3346 | |
Advanced Sleep Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E 2nd St Ste E, Odessa, TX 79761 Phone: 432-570-9991 Fax: 432-687-6299 | |
Serendipity Therapy Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Central Dr Ste 8, Odessa, TX 79761 Phone: 432-530-6452 | |
Alternative Life Solutions Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2458 E 11th St, Odessa, TX 79761 Phone: 432-582-2444 Fax: 432-582-2449 |