Organization
A.SHANMUGAM M.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIYANADAR SHANMUGAM M.D (PHYSICIAN/OWNER)
(979) 696-5663
Entity
Organization
Contact information
Practice address
1602 ROCK PRAIRIE RD, SUITE 210, COLLEGE STATION, TX 77845-8306
(979) 696-5663
(979) 694-1319
Mailing address
1602 ROCK PRAIRIE RD, SUITE 210, COLLEGE STATION, TX 77845-8306
(979) 696-5663
(979) 694-1319
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G0539
TX
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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