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NPI Code Detail

MEDICARE: SHAMS S NANDWANI M.D.

MEDICARE: SHAMS S NANDWANI 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
1208000000XPediatrics PhysicianK8802TX

General Provider Information

NPI Number : 1134121551
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMS S NANDWANI M.D.
Provider Business Mailing Address
First Line : 18607 KUYKENDAHL RD
Second Line :
City : SPRING
State : TX
Zip : 77379-3453
Country : US
Telephone Number : 281-370-1122
Fax Number : 281-370-1139
Provider Business Practice Location Address
First Line : 18607 KUYKENDAHL RD
Second Line :
City : SPRING
State : TX
Zip : 77379-3453
Country : US
Telephone Number : 281-370-1122
Fax Number : 281-370-1139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 03/24/2016

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