MEDICARE: DR. SHALINI TEWARI MD

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	207R00000X	Internal Medicine Physician	226323	NY

General Provider Information

NPI Number	:	1467421818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHALINI TEWARI MD

Provider Business Mailing Address
First Line	:	100 W DEAN KEETON ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712-1091
Country	:	US
Telephone Number	:	512-475-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 W DEAN KEETON ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712-1091
Country	:	US
Telephone Number	:	512-475-8315
Fax Number	:

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	07/17/2019

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