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Individual

DR. SHEILA MADHAVI AMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3201 S AUSTIN AVE, SUITE 140, GEORGETOWN, TX 78626-7554
(512) 868-6673
Mailing address
3201 S AUSTIN AVE, SUITE 140, GEORGETOWN, TX 78626-7554
(512) 868-6673

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
44555
CO
207KA0200X
Allergy Physician
A104888
CA
207KA0200X
Allergy Physician
Primary
N2917
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730377284
NPI
Enumeration date
01/26/2007
Last updated
01/07/2014
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