Provider Demographics
NPI:1790939221
Name:SHAMS NANDWANI, MD, PA
Entity Type:Organization
Organization Name:SHAMS NANDWANI, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMS
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-370-1122
Mailing Address - Street 1:9318 LOUETTA RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6520
Mailing Address - Country:US
Mailing Address - Phone:281-370-1122
Mailing Address - Fax:281-370-1139
Practice Address - Street 1:9318 LOUETTA RD
Practice Address - Street 2:SUITE 400
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6520
Practice Address - Country:US
Practice Address - Phone:281-370-1122
Practice Address - Fax:281-370-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH10449OtherUPIN