Dr Shantha Murthy, DDS is a 
Dentist - General Practice based in Farmington, Illinois. Dr Shantha Murthy is licensed to practice in Illinois (license number 019-15784) and his current practice location is 
138 E Fort St, Farmington, Illinois. He can be reached at his office (for appointments etc.) via phone at 
(309) 245-2922.
NPI number for Dr Shantha Murthy is 1801913256 and his current mailing address is 4516 N Sterling Ave, Peoria, Illinois. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801913256.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Shantha Murthy | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | 138 E Fort St, Farmington, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1801913256
 - Provider Enumeration Date: 03/23/2007
 - Last Update Date: 07/08/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Shantha Murthy such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1801913256 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 1223G0001X | Dentist - General Practice  | 019-15784 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shantha Murthy is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Shantha Murthy, DDS 4516 N Sterling Ave, Peoria, IL 61615-3827 Ph: (309) 686-1100 | Dr Shantha Murthy, DDS 138 E Fort St, Farmington, IL 61531-1219 Ph: (309) 245-2922 | 
		
		 
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