Individual
DR. TANEYA SHESTOPALOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555
(409) 772-1011
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265-0859
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
47475
AZ
2085N0700X
Neuroradiology Physician
S0985
TX
2085R0202X
Diagnostic Radiology Physician
Primary
S0985
TX
Other
Enumeration date
05/26/2009
Last updated
04/14/2025
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