Provider Demographics
NPI:1134121551
Name:NANDWANI, SHAMS S (MD)
Entity type:Individual
Prefix:
First Name:SHAMS
Middle Name:S
Last Name:NANDWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18607 KUYKENDAHL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3453
Mailing Address - Country:US
Mailing Address - Phone:281-370-1122
Mailing Address - Fax:281-370-1139
Practice Address - Street 1:18607 KUYKENDAHL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3453
Practice Address - Country:US
Practice Address - Phone:281-370-1122
Practice Address - Fax:281-370-1139
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8802208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics