IndividualActive
Kavitha Shashikumar, M.D.
NPI 1497858435 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Fort Worth, TX
Provider details
- NPI number
- 1497858435
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 100265 (GA)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense 100265 (GA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6528 Saucon Valley Dr
Fort Worth, TX 76132-5452
Phone: (817) 819-4919
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 16387
Fort Worth, TX 76162-0387
Additional practice locations (1)
- 1600 Vernon Rd Ste GLagrange, GA 30240-4143Phone: (706) 803-8010
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.