Individual
SANDEEP K SHORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L2645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012349
AMERIGROUP
—
05
—
160371401
—
TX
01
—
1638188
UNISYS MEDICAID
LA
01
—
7776507
AETNA
—
01
—
8K8418
BCBS OF TEXAS
TX
01
—
P00054539
RAILROAD MEDICARE
—
Enumeration date
06/11/2006
Last updated
03/23/2021
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