Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 44555 | CO |
N | 207KA0200X | Allergist | A104888 | CA |
Y | 207KA0200X | Allergist | N2917 | TX |
NPI | 1003962689 |
---|---|
Provider Name | Dr. Sheila Madhavi Amar |
First Address | Georgetown, TX 78626-7554 |
Second Address | Georgetown, TX 78626-7554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 07/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1730377284 | NPI (01) | |
F77545 | (02) | TX |