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Individual

ANDREY SHALOMOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
1103 N GRAY ST, KILLEEN, TX 76541-3420
(254) 774-1163
(833) 464-5455
Mailing address
1103 N GRAY ST, KILLEEN, TX 76541-3420
(254) 774-1163
(833) 464-5455

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S6040
TX
2084P0804X
Child & Adolescent Psychiatry Physician
S6040
TX

Other

Enumeration date
03/31/2017
Last updated
03/05/2026
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