MEDICARE: DR. SHOBHANA JAGAT KAMDAR 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
1	208000000X	Pediatrics Physician	E7433	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1942341029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHOBHANA JAGAT KAMDAR M.D.

Provider Business Mailing Address
First Line	:	4654 HIGHWAY 6 N STE 307
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-2879
Country	:	US
Telephone Number	:	281-463-9339
Fax Number	:	281-906-6448

Provider Business Practice Location Address
First Line	:	4654 HIGHWAY 6 N STE 307
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-2879
Country	:	US
Telephone Number	:	281-463-9339
Fax Number	:	281-463-2921

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	06/27/2022

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