Provider Demographics
NPI:1205181302
Name:PAUDEL, SALONI SHARMA (DO)
Entity Type:Individual
Prefix:DR
First Name:SALONI
Middle Name:SHARMA
Last Name:PAUDEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1315 WATERS EDGE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-1300
Mailing Address - Country:US
Mailing Address - Phone:817-408-3600
Mailing Address - Fax:817-408-3699
Practice Address - Street 1:1315 WATERS EDGE DR STE 101
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048
Practice Address - Country:US
Practice Address - Phone:817-408-3600
Practice Address - Fax:817-408-3699
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2020-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ2484208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics