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NPI Code Detail

MEDICARE: SHILPA MADADI M.D

MEDICARE:   SHILPA  MADADI  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
1207RG0100XGastroenterology PhysicianN2179TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356540330
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHILPA MADADI M.D
Provider Business Mailing Address
First Line : 1617 HEMPHILL ST
Second Line : DEPARTMENT OF INTERNAL MEDICINE
City : FORT WORTH
State : TX
Zip : 76104-4709
Country : US
Telephone Number : 817-927-3941
Fax Number : 817-927-3603
Provider Business Practice Location Address
First Line : 1617 HEMPHILL ST
Second Line : DEPARTMENT OF INTERNAL MEDICINE
City : FORT WORTH
State : TX
Zip : 76104-4709
Country : US
Telephone Number : 817-927-3941
Fax Number : 817-927-3603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 03/07/2023

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Directions to “ SHILPA MADADI M.D” Practice Location

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