Provider Demographics
NPI:1811050081
Name:SAINATH, SHANKARLINGAM (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:SHANKARLINGAM
Middle Name:
Last Name:SAINATH
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 WARNER AVE
Mailing Address - Street 2:#268
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7512
Mailing Address - Country:US
Mailing Address - Phone:714-540-9911
Mailing Address - Fax:714-549-9720
Practice Address - Street 1:11100 WARNER AVE
Practice Address - Street 2:#268
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7512
Practice Address - Country:US
Practice Address - Phone:714-540-9911
Practice Address - Fax:714-549-9720
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25691207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
W1608OtherMEDICARE GROUP PTAN NUMBER
1912029901OtherGROUP NPI NUMBER
CAA25691OtherSTATE ID#
CAWA25691EOtherMEDICARE PTAN
CAZZZ71176ZMedicaid
CAZZZ71176ZMedicaid