Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M6773 | TX |
N | 111NI0900X | Internist | M6773 | TX |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | M6773 | TX |
NPI | 1063621175 |
---|---|
Provider Name | Shivani M Toma |
First Address | Shenandoah, TX 77385-3312 |
Second Address | Shenandoah, TX 77385-3312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
187798701 | (05) | TX |
187798702 | (05) | TX |
187798703 | (05) | TX |
187798706 | (05) | TX |
187798707 | (05) | TX |
272766ZSVE | MEDICARE PIN (01) | TX |