DR. KAVITHA SHASHIKUMAR (NPI# 1497858435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497858435 |
| Entity Type | Individual |
| Full Name | DR. KAVITHA SHASHIKUMAR |
| Credential | M.D. |
| Practice Address |
11803 South Freeway, Suite 104 Fort Worth TX 76115-0000 |
| Mailing Address |
Po Box 16387 Fort Worth TX 76162-0387 |
| Practice Telephone | 8175517712 |
| Practice Fax Number | 8175516262 |
| Mailing Telephone | 8172941408 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
L5558 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 154604602 | 05 |
| Street Address |
11803 SOUTH FREEWAY, SUITE 104 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76115-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400047 | Christine Vera Varela | Nurse Practitioner | Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 | 2017-11-09 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1508097858 | Misti Lynne Poulos | Massage Therapist | 4534 Stanley Ave, #361, Fort Worth, TX 76115 | 2009-08-04 |
| 1609015312 | Sirisha Bheemaneni | Internal Medicine | 11801 S Frwy, Fort Worth, TX 76115 | 2009-02-19 |
| 1639378292 | Jeffrey J. Raymond | Physician Assistant | 544 West Seminary Dr, Fort Worth, TX 76115 | 2007-07-13 |
| 1336367952 | Luis Sierra-nieves | Physician Assistant | 544 West Seminary Drive, Fort Worth, TX 76115 | 2007-04-20 |
| 1396861209 | Remedios R Cabansag | Obstetrics & Gynecology | 11803 So Freewax, Suite 254, Fort Worth, TX 76115 | 2007-03-22 |
| 1073602611 | Courage Rehab Clinic | Clinic/Center | 1670 North Hampton Road, Suite 110, Desoto, TX 76115 | 2006-10-12 |
| 1548369200 | Vijay Khanna | Podiatrist | 4759 B South Freeway, Ft Worth, TX 76115 | 2006-09-21 |
| 1225045164 | Allan M Wallace | Optometrist | 11803 South Frwy, Suite 114, Fort Worth, TX 76115 | 2006-08-02 |
| Find all providers in zip 76115 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1447488028 | Miloni Shroff | Internal Medicine | 1325 Pennsylvania Ave Ste 325, Fort Worth, TX 76104-2175 | 2009-06-23 |
| 1669447157 | Daniel Barbaro | Internal Medicine | 1025 College Ave, Fort Worth, TX 76104-3013 | 2006-02-20 |
| 1265407761 | Mark J Hupert | Internal Medicine | 1124 College Ave, Fort Worth, TX 76104-4557 | 2006-02-20 |
| 1013982511 | Cheryl K Mcdonald | Internal Medicine | 1125 College Ave, Fort Worth, TX 76104-4514 | 2006-02-20 |
| 1275533846 | Catherine A Colquitt | Internal Medicine | 1307 8th Avenue, Suite 502, Fort Worth, TX 76104-4141 | 2005-07-26 |
| 1598769333 | Allan Rowan Kelly | Internal Medicine | 929 College Ave, Fort Worth, TX 76104-3048 | 2005-06-09 |
| 1205487717 | Infectious Diseases Consultants of Texas Pllc | Internal Medicine | 6551 Harris Pkwy Ste 110, Fort Worth, TX 76132-6105 | 2019-09-25 |
| 1982013439 | Deepthi Bibinagar | Internal Medicine | 400 N Beach St Ste 104, Fort Worth, TX 76111-7070 | 2014-08-08 |
| 1336569433 | Gennifer Meilyse Garmon | Internal Medicine | 1325 Pennsylvania Ave Ste 325, Fort Worth, TX 76104-2175 | 2014-04-16 |
| 1356787386 | Harika Yalamanchili | Internal Medicine | 1325 Pennsylvania Ave Ste 325, Fort Worth, TX 76104-2175 | 2013-05-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76115 |
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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.