A.Shanmugam M.D
Internal Medicine, Endocrinology, Diabetes & Metabolism in College Station, TX. Organization (NPI-2).
NPI number1508226234
StatusActive
Last updated in NPPESFeb 23, 2016
Details
- NPI
- 1508226234
- Entity type
- Organization (NPI-2)
- Legal business name
- A.Shanmugam M.D
- Organization subpart
- No
- Enumeration date
- Feb 23, 2016
- Last updated
- Feb 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | G0539 | TX | Yes |
Practice location
1602 Rock Prairie RdSuite 210
College Station, TX 77845-8306
Phone 979-696-5663 · Fax 979-694-1319
Mailing address
1602 Rock Prairie RdSuite 210
College Station, TX 77845-8306
Phone 979-696-5663 · Fax 979-694-1319
Authorized official
Aiyanadar Shanmugam
Physician/Owner
9796965663
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