Provider Demographics
NPI:1548095409
Name:ATX INFECTIOUS DISEASE SPECIALISTS PLLC
Entity type:Organization
Organization Name:ATX INFECTIOUS DISEASE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHOBHIT
Authorized Official - Middle Name:R
Authorized Official - Last Name:KESWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-885-9891
Mailing Address - Street 1:16238 RANCH ROAD 620 N STE E393
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-5212
Mailing Address - Country:US
Mailing Address - Phone:702-960-2115
Mailing Address - Fax:
Practice Address - Street 1:2000 SCENIC DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7726
Practice Address - Country:US
Practice Address - Phone:702-960-2115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-02
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1427519073Medicaid
NV1770043499Medicaid