Organization Active NPI

Kavitha Shashikumar MD PA

  • Infectious Disease Physician
  • Fort Worth, TX
National Provider Identifier
1932246022
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
L5558 Issued in TX
Legal business name
KAVITHA SHASHIKUMAR MD PA
Practice address
11803 South Freeway
Suite 213
Fort Worth, TX 76115
Phone
(817) 551-7712
Fax
(817) 551-6262
NPI assigned
Jan 30, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kavitha Shashikumar, M.D.
Title
M.D.
Phone
(817) 551-7712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X L5558 TX Primary

Addresses

Primary practice location

11803 South Freeway
Suite 213
Fort Worth, TX 76115

Mailing address

11803 S. Freeway
Suite 213
Fort Worth, TX 76115
Phone (817) 551-7712

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1932246022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 S. FREEWAY",
            "address_2": "SUITE 213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-551-7712",
            "fax_number": "817-551-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 SOUTH FREEWAY",
            "address_2": "SUITE 213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-551-7712",
            "fax_number": "817-551-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVITHA SHASHIKUMAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "SHASHIKUMAR",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "817-551-7712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "L5558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.