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SHAILAJA M PHILIP MD NPI 1568568632


NPI Information

NPI: 1568568632
Provider Name: SHAILAJA M PHILIP, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
712 7TH AVE
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-1024
Get Directions

Shailaja M Philip, MD is a pediatrics in Fort Worth, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Shailaja M Philip, MD NPI is 1568568632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

712 7TH AVE
FORT WORTH, TX
ZIP 76104-703
Phone: (682) 885-1024
Fax: (682) 885-1033

The enumeration date for this NPI number is 9/16/2006 and was last updated on 3/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsM0866TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11003887985OTHERGRP NPI NUMBER
2H75463MEDICARE UPIN
3170994101MEDICAIDTEXAS
4F67550OTHERTEXASPRONET PIN
58B2076OTHERTEXASBCBSTX IND PIN
67529393OTHERTEXASAETNA PIN
7003GSOTHERTEXASBCBSTX GRP PIN
8175593603MEDICAIDTEXAS
9080626701MEDICAIDTEXAS
10175593601MEDICAIDTEXAS
11175593602MEDICAIDTEXAS
128818814OTHERTEXASCIGNA PIN
1316331401MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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