Individual
DR. AMANDA SHAKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3472
TN
207L00000X
Anesthesiology Physician
Primary
R4635
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10049616
TX
Other
Enumeration date
06/02/2014
Last updated
02/20/2024
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