Organization
SHIVAM MEDICAL GROUP, PA
Active
Organization
SHIVAM MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHI THAKUR MD (PROVIDER)
(210) 910-5550
Entity
Organization
Contact information
Practice address
8518 CULEBRA ROAD, SUITE 107, SAN ANTONIO, TX 78251
(210) 910-5550
(210) 971-9077
Mailing address
8518 CULEBRA ROAD, SUITE 107, SAN ANTONIO, TX 78251
(210) 910-5550
(210) 971-9077
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L2392
TX
Other
Enumeration date
05/25/2013
Last updated
06/25/2024
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