Organization
KAVITHA SHASHIKUMAR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVITHA SHASHIKUMAR M.D. (M.D.)
(817) 551-7712
Entity
Organization
Contact information
Practice address
11803 SOUTH FREEWAY, SUITE 213, FORT WORTH, TX 76115
(817) 551-7712
(817) 551-6262
Mailing address
11803 S. FREEWAY, SUITE 213, FORT WORTH, TX 76115
(817) 551-7712
(817) 551-6262
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
L5558
TX
Other
Enumeration date
01/30/2007
Last updated
10/22/2007
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