Individual
SHAMJI P BADHIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 752-3451
(972) 852-9016
Mailing address
716 AUBURN CT, SAVANNAH, TX 76227-7924
(214) 704-7328
(972) 852-9016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H3440
TX
Other
Enumeration date
04/18/2006
Last updated
11/18/2020
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