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Individual

SHENIKA PRITAM SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
36065 SANTE FE AVE, FORT CAVAZOS, TX 76544
(254) 288-8000
Mailing address
36065 SANTE FE AVE, FORT CAVAZOS, TX 76544

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102207060
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0102207060
VA
Enumeration date
03/15/2020
Last updated
02/21/2025
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