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General NPI Number Information
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NPI Number | 1295767861
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Entity Type | Individual
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Provider Name | SHAILESH C KADAKIA MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 520 E EUCLID AVE SHAILESH C KADAKIA MD PA
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4414
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Country | US
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Telephone | 210-271-0606
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Fax | 210-475-9806
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Provider Business Mailing Address
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Address Line | 520 E EUCLID AVE SHAILESH C KADAKIA MD PA
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4414
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Country | US
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Telephone | 210-271-0606
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Fax | 210-475-9806
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J0544
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | J0544
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License Number State | TX
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