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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. VAN SHANTHARAM M.D.
NPI 1164497186
Specialist in Jacksonville, FL

Active since February 22, 2006
2585 HERSCHEL ST, JACKSONVILLE, FL 32204(904) 388-2678(904) 388-6776 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Van Shantharam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VAN SHANTHARAM M.D. (NPI 1164497186) is an individual specialist in Jacksonville, Florida, licensed in Florida (ME0035945) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1164497186
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. VAN SHANTHARAMCredential: M.D.
Location Address2585 HERSCHEL STJacksonville, FL 32204-4557
Mailing Address2585 Herschel StJacksonville, FL 32204-4557 · (904) 388-2678 · Fax (904) 388-6776
Phone(904) 388-2678
Fax(904) 388-6776
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1164497186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME0035945
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2585 HERSCHEL ST, Jacksonville, FL 32204
Open in Google Maps ↗

Other Identifiers 1

Medicaid06999340FL

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRASANTH KRISH M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. NILAY NAHAR M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
PERRI SCHELLENBERG MS, RDN, LDN
Dietitian, Registered
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. SHAUN MAGBUHAT AURE M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. DINESH JAYADEVAPPA M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
CLINIC FOR KIDNEY DISEASES PA
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
DR. BRIJENDRA K GUPTA M.D.
Internal Medicine (Nephrology)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678
ANNE CHRISTINE GAUCHER PA-C
Physician Assistant (Medical)
2585 HERSCHEL ST
JACKSONVILLE, FL 32204
Duval County (904) 388-2678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Van Shantharam's NPI number?

The NPI number for Van Shantharam is 1164497186. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Van Shantharam located?

Van Shantharam practices at 2585 Herschel St, Jacksonville, FL 32204. The listed phone number is (904) 388-2678.

What is Van Shantharam's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Van Shantharam was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.