Doctor Name: | DR. SHILA AZODI |
NPI Number: | 1073804191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 1400 N Ih 35 Suite 301 Austin, TX - 787011926 |
Business Phone Number: | 5123247359 |
Business Fax Number: | 5124778933 |
Mailing Address: | 1400 N Ih 35, Suite 301 AUSTIN |
State: | TX |
Postal Code: | 787011926 |
Phone Number: | 5123247359 |
Fax Number: | 5124778933 |
NPI Enumeration Date: | 04/23/2011 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |