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S.G. Ghide, M.D,, P.A.

Internal Medicine, Infectious Disease in Shenandoah, TX. Organization (NPI-2).

NPI number1679722425
StatusActive
Last updated in NPPESApr 28, 2017

Details

NPI
1679722425
Entity type
Organization (NPI-2)
Legal business name
S.G. Ghide, M.D,, P.A.
Organization subpart
No
Enumeration date
Sep 17, 2008
Last updated
Apr 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0200X Internal Medicine, Infectious DiseaseK9282TXYes

Practice location

1120 Medical Plaza Dr
Ste 310
Shenandoah, TX 77380-3242

Phone 281-732-5952 · Fax 281-377-4733

Mailing address

Po Box 9840
The Woodlands, TX 77387-6840

Phone 281-732-5952 · Fax 281-377-4733

Authorized official

Susan E Wiesner
Credentialing/Administration
2818516431

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