Individual
SHILPA MADADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1617 HEMPHILL ST, DEPARTMENT OF INTERNAL MEDICINE, FORT WORTH, TX 76104-4709
(817) 927-3941
(817) 927-3603
Mailing address
1617 HEMPHILL ST, DEPARTMENT OF INTERNAL MEDICINE, FORT WORTH, TX 76104-4709
(817) 927-3941
(817) 927-3603
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
N2179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204810001
—
TX
Enumeration date
07/11/2007
Last updated
03/07/2023
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