MEDICARE: SHAILEN MHAPSEKAR M.D.

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
1	207Q00000X	Family Medicine Physician	T4434	TX

General Provider Information

NPI Number	:	1558652149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAILEN MHAPSEKAR M.D.

Provider Business Mailing Address
First Line	:	1721 N LEE TREVINO DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-4563
Country	:	US
Telephone Number	:	915-905-9424
Fax Number	:	915-590-9044

Provider Business Practice Location Address
First Line	:	1485 GEORGE DIETER DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7684
Country	:	US
Telephone Number	:	915-790-5700
Fax Number	:	915-521-7082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2011
Last Update Date	:	04/28/2026

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