| Kavitha Shashikumar MD PA | |
|
11803 South Freeway Suite 213 Fort Worth TX 76115 | |
| (817) 551-7712 | |
| (817) 551-6262 |
| Full Name | Kavitha Shashikumar MD PA |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 11803 South Freeway, Fort Worth, Texas |
| Authorized Official Name and Position | Kavitha Shashikumar (M.D.) |
| Authorized Official Contact | 8175517712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kavitha Shashikumar MD PA 11803 S. Freeway Suite 213 Fort Worth TX 76115 Ph: (817) 551-7712 | Kavitha Shashikumar MD PA 11803 South Freeway Suite 213 Fort Worth TX 76115 Ph: (817) 551-7712 |
| NPI Number | 1932246022 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932246022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | L5558 (Texas) | Primary |
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