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HomeProvidersSHANTA GAUTHAM MD

Internal Medicine

SHANTA GAUTHAM MD

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1851562375 · enumerated 2008-03-13 · record updated 2019-03-05. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Other names: SHANTA SUBRAMANIAN

Addresses and phones

Practice location 725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY, GRAND FORKS, ND, 58203 (701) 780-6800 Fax (781) 744-5358 Google Maps Apple Maps OpenStreetMap
Mailing address 2401 DEMERS AVE, GRAND FORKS, ND, 58201 (701) 780-1891 Fax (781) 744-5358 Google Maps Apple Maps OpenStreetMap

Specialties

Internal Medicine 207R00000X · Primary · License 11672 ND

In this directory

ND Grand Forks County Grand Forks Internal Medicine

Locations and evidence

Practice location GRAND FORKS, ND, 58203
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.