Provider Demographics
NPI:1568211035
Name:SHRESTHA, KRITI (MD)
Entity type:Individual
Prefix:
First Name:KRITI
Middle Name:
Last Name:SHRESTHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S. COULTER STREET
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106
Mailing Address - Country:US
Mailing Address - Phone:806-414-9654
Mailing Address - Fax:806-351-3787
Practice Address - Street 1:1400 S. COULTER STREET
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106
Practice Address - Country:US
Practice Address - Phone:806-414-9654
Practice Address - Fax:806-351-3787
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2025-08-12
Deactivation Date:2025-01-10
Deactivation Code:
Reactivation Date:2025-08-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program