Healthcare Provider Details

I. General information

NPI: 1588846653
Provider Name (Legal Business Name): SHALENE BADHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHALENE BADHAN SINDHWANI MD

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S AUSTIN AVE STE 325
GEORGETOWN TX
78626-7642
US

IV. Provider business mailing address

3201 S AUSTIN AVE STE 325
GEORGETOWN TX
78626-7642
US

V. Phone/Fax

Practice location:
  • Phone: 507-751-2717
  • Fax: 512-713-0844
Mailing address:
  • Phone: 512-717-5077
  • Fax: 512-713-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberT3585
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: