Dr. Shesha Kalyan Katakam, MD, MPH
Pediatrics in Ferguson, MO. Individual provider (NPI-1).
NPI number1578720439
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1578720439
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shesha Kalyan Katakam
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 19, 2008
- Certification date
- Jan 20, 2023
- Last updated
- Jan 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 01073004A | IN | Yes |
| 208000000X | Pediatrics | MD.202228 | LA |
Practice location
3878 Pershall RdFerguson, MO 63135-1246
Phone 314-839-7500
Mailing address
1509 State StLa Porte, IN 46350-3115
Phone 219-324-3431 · Fax 219-362-3802
Other practice locations
1509 State St
La Porte, IN 46350-3115
La Porte, IN 46350-3115
Phone 219-324-3431 · Fax 219-362-3802
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