Individual
ASHKAN SHADEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT198213
PA
2085R0202X
Diagnostic Radiology Physician
A138893
CA
2085R0202X
Diagnostic Radiology Physician
Primary
R3431
TX
Other
Enumeration date
06/16/2010
Last updated
03/24/2025
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