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Individual

DR. GOLLAPUDI SIVA SHANKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PHARMD, PHC, BCP

Contact information

Practice address
4602 N BARTLETT AVE, LAREDO, TX 78041-3803
(956) 523-7850
(956) 523-7851
Mailing address
4602 N BARTLETT AVE, LAREDO, TX 78045-3803
(956) 523-7850
(956) 523-7851

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
40595
CA

Other

Enumeration date
06/16/2005
Last updated
05/31/2016
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