DR. SHOBHA SHAKAMURI


Address: 1402 N 4th St, Ste. 300, Longview, TX 75601-4774
Phone: 9032349992

DR. SHOBHA SHAKAMURI (NPI# 1902861446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902861446
Entity Type Individual
Full Name DR. SHOBHA SHAKAMURI
Credential MD
Practice Address 1402 N 4th St
Ste. 300
Longview
TX 75601-4774
Mailing Address 1402 N 4th St
Ste, #300
Longview
TX 75601-4774
Practice Telephone 9032349992
Practice Fax Number 9032348287
Mailing Telephone 9032349992
Mailing Fax Number 9032348287
Enumeration Date 2006-04-18
Last Update Date 2014-02-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
G8756 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX COMMERICAL 752896100 01
TX 114429704 05
TX BLUE CROSS & BLUE SHIELD 8B0770 01

Office Location

Street Address 1402 N 4TH ST
STE. 300
City LONGVIEW
State TX
Zip Code 75601-4774

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063980936 Kidney Connect Pllc Internal Medicine 1402 N 4th St, Longview, TX 75601-4774 2018-11-08
1124339437 Paul Andrew Kyser Family Medicine 1402 N 4th St, Suite 200, Longview, TX 75601-4774 2010-07-01
1386814226 Rajiv Shamsher Bahadur Vij Internal Medicine 1402 N 4th St, Longview, TX 75601-4774 2008-03-06
1942217286 Donald Scott Brazell Family Medicine 1402 N 4th St, Suite 200, Longview, TX 75601-4774 2006-08-01
1336104389 Glenn A Mcdonald Internal Medicine 1402 N 4th St, Ste 300, Longview, TX 75601-4774 2006-04-20
1891750840 Venkatesh S Reddy Internal Medicine 1402 N 4th St, Ste 300, Longview, TX 75601-4774 2006-04-20
1184689622 East Texas Kidney Specialists,pa Internal Medicine 1402 N 4th St, Longview, TX 75601-4774 2006-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992351076 Stebbins Hospice LLC Hospice Care, Community Based 600-602 E. Whaley, Longview, TX 75601 2019-08-14
1720437692 J.l. Miguez, Inc. Hearing Aid Equipment 822 N 4th Street, Longview, TX 75601 2016-06-10
1801244090 Voyage Medical Solutions, LLC Durable Medical Equipment & Medical Supplies 111 W Tyler St, Longview, TX 75601 2016-05-27
1134504426 Siobain Kay Rogers Nurse Practitioner 703 E Marshall Ave Ste 4003, Longview, TX 75601 2015-07-28
1669882882 Snehal Shrivastava Internal Medicine 1402 N 4th St Ste 300, Longview, TX 75601 2014-04-28
1679824221 Jennifer Ruth Williams Occupational Therapist 110 E Tyler St, Longview, TX 75601 2012-09-23
1548525603 Candice Renee Ramos Social Worker 950 N Sixth St, Longview, TX 75601 2012-07-05
1497082747 Jarett S Harkness Pharmacist 511 E. Marshall Avenue, Longview, TX 75601 2009-11-06
1407086333 Udeme Ekpenyong Pediatrics 818 N. 4th St., Longview, TX 75601 2009-07-27
1386823359 Assisted Living Concepts Inc Assisted Living Facility 2104 Alpine Road, Longview, TX 75601 2007-10-26
Find all providers in zip 75601

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669882882 Snehal Shrivastava Internal Medicine 1402 N 4th St Ste 300, Longview, TX 75601 2014-04-28
1942532056 Glenn Ying Gee Internal Medicine 2933 Laurel Rd, Longview, WA 98632-4519 2010-02-01
1063980936 Kidney Connect Pllc Internal Medicine 1402 N 4th St, Longview, TX 75601-4774 2018-11-08
1386814226 Rajiv Shamsher Bahadur Vij Internal Medicine 1402 N 4th St, Longview, TX 75601-4774 2008-03-06
1124200878 Mary K Mcgee, Md Internal Medicine 705 E Marshall Ave, Suite 3001, Longview, TX 75601-5573 2007-12-04
1669426243 Majd Isreb Internal Medicine 1615 Delaware St, Longview, WA 98632-2310 2006-05-19
1336104389 Glenn A Mcdonald Internal Medicine 1402 N 4th St, Ste 300, Longview, TX 75601-4774 2006-04-20
1891750840 Venkatesh S Reddy Internal Medicine 1402 N 4th St, Ste 300, Longview, TX 75601-4774 2006-04-20
1184689622 East Texas Kidney Specialists,pa Internal Medicine 1402 N 4th St, Longview, TX 75601-4774 2006-04-18
1770562183 Mary Katherine Mcgee Internal Medicine 705 E Marshall Ave, Suite 3001, Longview, TX 75601-5573 2006-01-13
Find all providers in LONGVIEW

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City LONGVIEW
Zip Code 75601

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Dataset Information

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.

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