Provider Demographics
NPI:1144955055
Name:SHRIKHANDE, ADITYA (MD)
Entity type:Individual
Prefix:
First Name:ADITYA
Middle Name:
Last Name:SHRIKHANDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 957683
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-7683
Mailing Address - Country:US
Mailing Address - Phone:573-705-1272
Mailing Address - Fax:573-705-1216
Practice Address - Street 1:1101 W LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-1921
Practice Address - Country:US
Practice Address - Phone:573-705-1272
Practice Address - Fax:573-705-1216
Is Sole Proprietor?:No
Enumeration Date:2022-07-24
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK39458207R00000X
MO2025028055208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine