| Shana Godfred-cato, DO | |
|
4100 Everett, Suite 400, Kyle, TX 78640-6147 | |
| (512) 295-1333 | |
| (512) 406-7327 |
| Full Name | Shana Godfred-cato |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4100 Everett, Kyle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538429212 | NPI | - | NPPES |
| 350026601 | Medicaid | TX | |
| 350026602 | Medicaid | TX |
| Entity Name | U-u Pediatric Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235339193 PECOS PAC ID: 8729049002 Enrollment ID: O20041020000616 |
| Entity Name | University Of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Entity Name | University Of Utah Pediatric Acuity Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Shana Godfred-cato, DO 4515 Seton Center Parkway, Suite 215-credentialing, Austin, TX 78759-5785 Ph: (512) 231-5516 | Shana Godfred-cato, DO 4100 Everett, Suite 400, Kyle, TX 78640-6147 Ph: (512) 295-1333 |
Dr. David Cox Needham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-6256 | |
Dr. Amit D Salkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Julia Blood, Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Shivani Mehta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Ste 400, Kyle, TX 78640 Phone: 512-295-1333 | |
Dr. Rebecca Nonesupplied Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Raymond Teoh, Pediatrics Medicare: Medicare Enrolled Practice Location: 4100 Everett Dr Ste 400, Kyle, TX 78640 Phone: 512-295-1333 Fax: 512-406-7327 | |
Dr. Erin Rhae Chaffe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2810 Dacy Ln, Kyle, TX 78640 Phone: 512-268-8900 Fax: 512-268-2250 |