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NPI Code Detail

MEDICARE: DR. KIRAT SHAHIWALA PHARM.D., BSPHARM

MEDICARE: DR. KIRAT SHAHIWALA PHARM.D., BSPHARM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist5302040455MI
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist60393TX

General Provider Information

NPI Number : 1275900128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIRAT SHAHIWALA PHARM.D., BSPHARM
Provider Business Mailing Address
First Line : 12333 BEAR PLZ STE 100
Second Line :
City : BURLESON
State : TX
Zip : 76028-0215
Country : US
Telephone Number : 817-789-4099
Fax Number : 800-616-4641
Provider Business Practice Location Address
First Line : 12333 BEAR PLZ STE 100
Second Line :
City : BURLESON
State : TX
Zip : 76028-0215
Country : US
Telephone Number : 817-789-4099
Fax Number : 800-616-4641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2015
Last Update Date : 08/15/2024

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