Shanta Gautham, MD

INTERNAL MEDICINE

1380 S Columbia Rd

Grand Forks, ND 582014059

(701) 795-2000

**NPI:** 1851562375

**Med School:** UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE

**Experience:** 18 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (3)

ALTRU HEALTH SYSTEM

1380 S Columbia Rd
Grand Forks, ND 582014059

Phone: (701) 795-2000

**Group ID:** 1355251604 | **Group Size:** 554 members

ALTRU HEALTH SYSTEM

725 Hamline St
Grand Forks, ND 582032819

Phone: (701) 780-6800

**Group ID:** 1355251604 | **Group Size:** 554 members

ALTRU HEALTH SYSTEM

400 S Minnesota St
Crookston, MN 567161808

Phone: (218) 281-9100

**Group ID:** 1355251604 | **Group Size:** 554 members

SANFORD MEDICAL CENTER FARGO Type: Hospital
801 BROADWAY NORTH
Phone: (701) 234-2000
Medicare CCN: 350011 View Profile

ALTRU HOSPITAL Type: Hospital
1200 S COLUMBIA RD
Phone: (701) 780-5000
Medicare CCN: 350019 View Profile

Home health agency Type: Home health agency
Medicare CCN: 357014 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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