Chandiwal, Shilpa Jain

Chandiwal, Shilpa Jain is an individual health care provider with primary practice located at 167 Citadel Way Ste 100 , Sugar Land TX 77479-7162. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Chandiwal, Shilpa Jain can be contacted via phone (713) 955-2100.

Contact Information

Primary practice address
167 Citadel Way Ste 100 Sugar Land TX 77479-7162
Fax: (713) 904-1806
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 25305 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 25305 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 25305 Texas

Profile Details

NPI number 1558510255
LBN Legal business name Chandiwal, Shilpa Jain
Credentials D.D.S, B.D.S
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2008
Last updated Aug 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558510255 NPPES
Texas MEDICAID 218348510

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