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Individual
SHYAM PURSWANI
Active
Individual
SHYAM PURSWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
K1005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297020-02
—
TX
01
—
TXB153365
WELLMED NETWORKS INC
—
Enumeration date
08/04/2006
Last updated
07/10/2017
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