Shobha Shakamuri is a Nephrology in Longview, Texas. Shobha Shakamuri practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Shobha Shakamuri is 1902861446. The last update date is 2021-10-06.
Shobha Shakamuri's current location address is 3535 N Fourth St Ste 301, Longview, Texas. You can contact this provider via phone number 9032349992 and fax number 9032348287. The mailing address for Shobha Shakamuri is 3535 N Fourth St Ste 301, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shobha Shakamuri |
|---|---|
| Address | 3535 N Fourth St Ste 301, Longview, Texas |
| Phone Number | 9032349992 |
| Fax Number | 9032348287 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902861446 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2021-10-06 |
Provider Mailing Address Detail
| Address | 3535 N Fourth St Ste 301 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756050037 |
| Phone Number | 9032349992 |
| Fax Number | 9032348287 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | G8756 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 752896100 | TX | COMMERICAL | |
| 8B0770 | TX | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shobha Shakamuri by the Centers for Medicare & Medicaid Services?
The Shobha Shakamuri has been issued the NPI (National Provider Identifier) 1902861446, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shobha Shakamuri is physically located?
The Shobha Shakamuri is physically situated at the following address: 3535 N Fourth St Ste 301, Longview, TX, 756050037.
What is Shobha Shakamuri's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shobha Shakamuri is Nephrology, and the taxonomy classification code that categorizes this area of expertise is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902861446 to Shobha Shakamuri?
The Centers for Medicare & Medicaid Services originally issued the 1902861446 to Shobha Shakamuri on 2006-04-18.
When was the information regarding Shobha Shakamuri most recently updated?
The details pertaining to the Shobha Shakamuri, including its address, specialty, and other relevant information, were last refreshed on 2021-10-06.