SearchTexas207R00000X

Prashanth Gumpu Shivashankar

NPI 1356030803 · on the registry since 2023

Practice

Address
1631 11th St Unit B
Wichita Falls, TX 76301
Phone
(940) 263-3000
Fax
(940) 263-3018
Organisation at this address
La Magna Health Pllc
Fardin Djafari Md Pllc
Andre P Desire, Md, Pa
Vedampattu P Ganeshram Md Pllc
Wichita Heart And Vascular Center, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Additional practice sites

  • 1600 11th St, Wichita Falls, TX

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas