Individual
DR. ELENA SHANINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0462
(409) 772-4194
Mailing address
301 UNIVERSITY BLVD, JSA 9.128, GALVESTON, TX 77555-5302
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
N2797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3850432248
MYUTMB 3850432248-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
06/08/2009
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