Individual
SHAAD B BIDIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3600 GASTON AVE, SUITE 907, DALLAS, TX 75246-1800
(214) 823-2052
(214) 823-5747
Mailing address
6080 N CENTRAL EXPY STE 150, DALLAS, TX 75206-5202
(214) 823-2052
(214) 823-3797
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L8619
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8B9442
—
TX
Enumeration date
07/19/2006
Last updated
08/18/2020
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