| Mandy Shah, MD | |
|
100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | |
| (254) 202-2000 | |
| Not Available |
| Full Name | Mandy Shah |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 100 Hillcrest Medical Blvd, Waco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609260165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME140040 (Florida) | Secondary |
| 207L00000X | Anesthesiology | T8769 (Texas) | Primary |
| Entity Name | Orlando Anesthesia Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184661696 PECOS PAC ID: 6204729056 Enrollment ID: O20040205000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Shah, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Mandy Shah, MD 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 Ph: (254) 202-2000 |
Thomas J Valigura, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849 | |
Kyle Sulak, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr Ste 105, Waco, TX 76712 Phone: 254-776-0266 | |
Dr. Rachel Backstrom, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Holly W Davis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Casey D Hector, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Jeffrey T Manning, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Jose Miguel Soto, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849 |