KAVITHA SHASHIKUMAR MD PA
Osteopathic Medicine at South Fwy, Fort Worth, TX

License number
Texas L5558
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: DR. KAVITHA SHASHIKUMAR M.D.
Title: M.D.
Phone: (817) 551-7712
Address
Address
11803 South Fwy SOUTH SUITE 213, Fort Worth, TX 76115
National Provider ID: 1932246022
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KAVITHA SHASHIKUMAR MD PA

Fort Worth, TX

Doing business as:
Fort Worth Infectious Disease Associates, PA<br>Kavitha Shashikumar MD PA<br>Kavitha Shashikumar, M.D., PA<br>North Texas Infectious Disease Associates<br>North Texas Infusion Center
Registration:
Jan 6, 2004
Addresses:
11803 S Fwy, Fort Worth, TX 76115
6716 Oak Hl Dr, Fort Worth, TX 76132
State ID:
0800289024
Business type:
Professional Association
President , Director , Member:
Kavitha Shashikumar (President , Director , Member)
Agent:
Shashi Kumar,4813 Hildring Dr E, Fort Worth, TX 76109 (Physical)
TIN:
32035665747

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