SHANI SHASTRI (NPI# 1164577060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164577060 |
| Entity Type | Individual |
| Full Name | SHANI SHASTRI |
| Credential | M.D. |
| Practice Address |
Univ of Texas Southwestern Medical Ctr 5323 Harry Hines Blvd. Dallas TX 75390-0001 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146483442 |
| Mailing Telephone | 2146456476 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 226068 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
P1593 | TX | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
237686 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
UNIV OF TEXAS SOUTHWESTERN MEDICAL CTR 5323 HARRY HINES BLVD. |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639317373 | Stacy Miller Utay | Genetic Counselor, MS | Univ of Texas Southwestern Medical Ctr, 5323 Harry Hines Boulevard, Dallas, TX 75390-0001 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013424860 | Farahat and Associates Pllc | Internal Medicine | 7475 La Vista Dr Apt 1834, Dallas, TX 75214-4132 | 2018-01-02 |
| 1205199619 | Muthanna Mohammad Saraireh | Internal Medicine | 3600 Gaston Ave Ste 904, Dallas, TX 75246-1809 | 2012-06-20 |
| 1053686121 | Lucile Parker Gregg | Internal Medicine | Ut Southwestern Medical Center Nephrology, 5323 Harry Hines Blvd, Dallas, TX 75390-8516 | 2012-03-21 |
| 1164791398 | Kidney and Hypertension Associates of Dallas Pllc | Internal Medicine | 3900 Junius St Ste 615, Dallas, TX 75246-1615 | 2011-12-16 |
| 1548573587 | Mamatha Racheruvu | Internal Medicine | 3571 W Wheatland Rd # 101, Dallas, TX 75237-3461 | 2010-07-20 |
| 1689994956 | Paul Cespedes | Internal Medicine | 7777 Forest Ln Ste C865, Dallas, TX 75230 | 2010-06-09 |
| 1447492756 | Ntkc Management, LLC | Internal Medicine | 3900 Junius Street, Suite 615, Dallas, TX 75246 | 2009-04-01 |
| 1407055155 | Ala'a Farahat | Internal Medicine | 3822 Brown St, Dallas, TX 75219-4014 | 2007-07-13 |
| 1295856003 | Kamalanthan Kolandavelu Sambandam | Internal Medicine | 5939 Harry Hines Suite 700, Dallas, TX 75390 | 2007-04-02 |
| 1033268354 | Soon Chao S Ong | Internal Medicine | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2007-01-09 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.