Individual
SHEKHAR A GHAMANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P0593
TX
207RP1001X
Pulmonary Disease Physician
21012
WV
207RP1001X
Pulmonary Disease Physician
Primary
P0593
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
P0593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003560000
—
WV
01
—
CA7346
RAILROAD MEDICARE GROUP
WV
01
—
P00647690
RAILROAD MEDICARE
WV
Enumeration date
01/25/2006
Last updated
12/17/2021
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