Individual
SHEETAL SHROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6560 FANNIN ST, SUITE 802, HOUSTON, TX 77030-2761
(713) 363-7345
Mailing address
6560 FANNIN ST, SUITE 802, HOUSTON, TX 77030-2761
(713) 363-7345
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Q1908
TX
2084N0400X
Neurology Physician
Primary
Q1908
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0037509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8FH419
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/15/2010
Last updated
01/04/2016
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