| Doctor Name: | DR. PRADHEEP J SHANKER |
| NPI Number: | 1457399818 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35.090077 |
| Business Practice Address: | 3525 Olentangy River Rd Suite 5360 Columbus, OH - 432143937 |
| Business Phone Number: | 6143407747 |
| Business Fax Number: | 6143407742 |
| Mailing Address: | 100 E Campus View Blvd, Suite 160 COLUMBUS |
| State: | OH |
| Postal Code: | 432354647 |
| Phone Number: | 6143964733 |
| Fax Number: | 6143964742 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 35.090077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |