Organization
SHRIKANT RISHI, M.D., M.S., F.A.C.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRIKANT K RISHI MD (CEO)
(254) 634-0145
Entity
Organization
Contact information
Practice address
2207 S CLEAR CREEK RD, STE # 303, KILLEEN, TX 76549-4132
(254) 634-0145
(254) 634-1987
Mailing address
2207 S CLEAR CREEK RD, STE # 303, KILLEEN, TX 76549-4132
(254) 634-0145
(254) 634-1987
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MDL5535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071JT
BLUE CROSS BLUE SHIELD
TX
05
—
158201701
—
TX
01
—
207463764
TRICARE
TX
Enumeration date
08/15/2007
Last updated
08/15/2007
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