Individual provider · Type 1 NPI

Shamini Mylvaganam

Obstetrics & Gynecology Physician · Idaho Falls, ID

NPI number 1396133252 Active

Practice location

2990 Cortez Ave
Idaho Falls, ID 83404-7554

Call (208) 535-0440 Map

Fax (208) 535-0550

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X277644 (NY)
Obstetrics & Gynecology Physician Primary 207V00000X8461173 (ID)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1396133252

Shamini Mylvaganam's National Provider Identifier is 1396133252, issued on Dec 30, 2014. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 18, 2025.