Gowdagere, Shivaram K.

Gowdagere, Shivaram K. is an individual health care provider with primary practice located at 1600 S Coulter St Bldg F, Amarillo TX 79106-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gowdagere, Shivaram K. can be contacted via phone (806) 398-3627.

Contact Information

Primary practice address
1600 S Coulter St Bldg F Amarillo TX 79106-1710
Fax: (806) 351-7801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M1718 Texas

Profile Details

NPI number 1316923279
LBN Legal business name Gowdagere, Shivaram K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 13th, 2015 - about 9 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 1316923279 NPPES
Texas MEDICAID 175779101

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