Individual
SAMIR PRADEEP SHIRODKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9305 PINECROFT DR, SUITE 104, THE WOODLANDS, TX 77380-3482
(936) 441-1005
(936) 521-1138
Mailing address
9305 PINECROFT DR, SUITE 104, THE WOODLANDS, TX 77380-3482
(936) 441-1005
(936) 521-1138
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
N9644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE NUMBER
TX
01
—
094010801
GROUP MEDICAID NUMBER
TX
Enumeration date
05/30/2007
Last updated
07/13/2016
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