Individual
SHIVARAM K. GOWDAGERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S COULTER ST, BLDG F, AMARILLO, TX 79106-1710
(806) 398-3627
(806) 351-7801
Mailing address
PO BOX 844798, DALLAS, TX 75284-4798
(806) 398-3627
(806) 351-7801
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M1718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175779101
—
TX
Enumeration date
12/21/2005
Last updated
07/13/2015
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