Provider Demographics
NPI:1588846653
Name:BADHAN, SHALENE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHALENE
Middle Name:
Last Name:BADHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHALENE
Other - Middle Name:BADHAN
Other - Last Name:SINDHWANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3201 S AUSTIN AVE STE 325
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7642
Mailing Address - Country:US
Mailing Address - Phone:512-717-5077
Mailing Address - Fax:512-713-0844
Practice Address - Street 1:3201 S AUSTIN AVE STE 325
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7642
Practice Address - Country:US
Practice Address - Phone:507-751-2717
Practice Address - Fax:512-713-0844
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT3585207RR0500X, 207RR0500X
ORMD162714207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology