Individual
SHIKHA MANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2617 SCRIPTURE ST STE 101, DENTON, TX 76201-2398
(940) 382-4142
(940) 382-7620
Mailing address
2617 SCRIPTURE ST STE 101, DENTON, TX 76201-2398
(940) 382-4142
(940) 382-7620
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
Q4801
TX
207KA0200X
Allergy Physician
Q4801
TX
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Q4801
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07920
—
LA
01
—
47-4361713
TAX ID
TX
Enumeration date
05/24/2007
Last updated
05/08/2017
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