MEDICARE: SHAMS NANDWANI, MD, PA

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	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H10449	OTHER	TX	UPIN

General Provider Information

NPI Number	:	1790939221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAMS NANDWANI, MD, PA

Provider Business Mailing Address
First Line	:	9318 LOUETTA RD
Second Line	:	SUITE 400
City	:	SPRING
State	:	TX
Zip	:	77379-6520
Country	:	US
Telephone Number	:	281-370-1122
Fax Number	:	281-370-1139

Provider Business Practice Location Address
First Line	:	9318 LOUETTA RD
Second Line	:	SUITE 400
City	:	SPRING
State	:	TX
Zip	:	77379-6520
Country	:	US
Telephone Number	:	281-370-1122
Fax Number	:	281-370-1139

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. SHAMS NANDWANI
Credential	:	MD
Telephone Number	:	281-370-1122

Provider Enumeration Date	:	11/11/2008
Last Update Date	:	05/20/2010

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Directions to “SHAMS NANDWANI, MD, PA ” Practice Location

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