| Shivam Medical Group Pa | |
|
9002 Culebra Rd Suite 104 San Antonio TX 78251-2873 | |
| (210) 910-5550 | |
| (210) 971-9077 |
| Full Name | Shivam Medical Group Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 9002 Culebra Rd, San Antonio, Texas |
| Authorized Official Name and Position | Sanjay Kumar (DIRECTOR) |
| Authorized Official Contact | 2109105550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shivam Medical Group Pa Po Box 1190 Helotes TX 78023-1190 Ph: (210) 910-5550 | Shivam Medical Group Pa 9002 Culebra Rd Suite 104 San Antonio TX 78251-2873 Ph: (210) 910-5550 |
| NPI Number | 1699112052 |
|---|---|
| Provider Enumeration Date | 05/25/2013 |
| Last Update Date | 04/18/2016 |
| Medicare PECOS PAC ID | 0941436208 |
|---|---|
| Medicare Enrollment ID | O20131115001259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699112052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L2392 (Texas) | Primary |
| Provider Name | Nishi Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871584078 PECOS PAC ID: 6507887130 Enrollment ID: I20051212000320 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174518633 PECOS PAC ID: 0547310112 Enrollment ID: I20090603000233 |
| Provider Name | Jennifer G Galindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912414277 PECOS PAC ID: 5799045233 Enrollment ID: I20180201002051 |
| Provider Name | Sarah Hessling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659002103 PECOS PAC ID: 2264813716 Enrollment ID: I20220715000731 |
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