Organization
GO ANESTHESIOLOGY
Active
Organization
GO ANESTHESIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIM JUSTIN BADIYAN (OWNER)
(972) 219-8400
Entity
Organization
Contact information
Practice address
11500 STATE HIGHWAY 121 STE 1010, FRISCO, TX 75035-9347
(972) 219-8400
(972) 219-5331
Mailing address
11500 HIGHWAY 121, STE. 1010, FRISCO, TX 75035
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
06/18/2021
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