SHYAM PANCHAL (NPI# 1326425281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326425281 |
| Entity Type | Individual |
| Full Name | SHYAM PANCHAL |
| Practice Address |
17183 Interstate 45 S Ste 690 Shenandoah TX 77385-3317 |
| Mailing Address |
17189 Interstate 45 S Ste 245 Shenandoah TX 77385-3320 |
| Practice Telephone | 9362703900 |
| Mailing Telephone | 9362704195 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
S1886 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6565 Fannin St, Houston, TX 770302703 | 7137903311 |
| Street Address |
17183 INTERSTATE 45 S STE 690 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77385-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306138235 | Stacy Victoria Smith | Psychiatry & Neurology | 17183 Interstate 45 S Ste 690, Shenandoah, TX 77385-3317 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
| 1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
| 1104462753 | Over The Moon Pediatrics, Pllc | Pediatrics | 17189 I-45 South, Suite 235, The Woodlands, TX 77385 | 2019-11-19 |
| 1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
| Find all providers in zip 77385 | ||||
| Taxonomy Code | 2084V0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Vascular Neurology |
| Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225280704 | Longview Neurological Clinic Pllc | Psychiatry & Neurology | 2441 E Us Highway 377, Suite 105, Granbury, TX 76049-5991 | 2008-10-16 |
| 1508063900 | Vivek Hasmukh Tank | Psychiatry & Neurology | 5012 S Us Highway 75 Ste 230, Denison, TX 75020-4634 | 2007-06-29 |
| 1760698583 | Lorenzo Gustavo Blas | Psychiatry & Neurology | 25510 I-45 North, Suite 200, Spring, TX 77386 | 2007-05-16 |
| 1407925886 | Steven Warach | Psychiatry & Neurology | 1400 N. I35, Suite 300, Austin, TX 78701 | 2006-11-07 |
| 1013451038 | Heart of Texas Neurology and Sleep, Pllc | Psychiatry & Neurology | 3613 Williams Dr, Suite 1006, Georgetown, TX 78628-1377 | 2016-12-09 |
| 1831553668 | Kyna Naomi Schreiber | Psychiatry & Neurology | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2016-04-07 |
| 1881077857 | Charles Thomas Md Pa | Psychiatry & Neurology | 12446 West Ave, Ste 200, San Antonio, TX 78216-2517 | 2015-07-08 |
| 1043630080 | Christian Eduardo Cajavilca | Psychiatry & Neurology | 1600 Coit Rd Ste 104, Plano, TX 75075-6171 | 2014-04-17 |
| 1316367410 | Jason Neal | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-3726 | 2014-04-16 |
| 1043653801 | Arash Shadman | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-0001 | 2013-04-11 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 77385 |
Please comment or provide details below to improve the information on SHYAM PANCHAL.
| 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.