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Individual

AYESHA SHAHERYAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700 SE INNER LOOP, GEORGETOWN, TX 78626-7700
(512) 819-9400
Mailing address
12407 AUDANE DR, AUSTIN, TX 78727-5762
(929) 256-0207

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
S4869
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
S4869
TX

Other

Enumeration date
04/20/2016
Last updated
02/25/2022
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