Provider Demographics
NPI:1033435854
Name:MASHRUWALA, VAISHALI SHRIKANT (MD)
Entity Type:Individual
Prefix:
First Name:VAISHALI
Middle Name:SHRIKANT
Last Name:MASHRUWALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 THOMAS CHAPEL DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-3024
Mailing Address - Country:US
Mailing Address - Phone:817-938-2707
Mailing Address - Fax:
Practice Address - Street 1:1400 S COULTER ST STE 4100
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1786
Practice Address - Country:US
Practice Address - Phone:806-354-5417
Practice Address - Fax:806-351-3787
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program