Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Prashanth Gumpu Shivashankar

Individual provider Internal Medicine Physician · NPI 1356030803

Mr. Prashanth Gumpu Shivashankar is an Internal Medicine in Wichita Falls, Texas. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

1631 11th St Unit B
Wichita Falls, TX 76301-4332
Phone: (940) 263-3000
Fax: (940) 263-3018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 11th St, Wichita Falls, TX 76301-4321 — (940) 263-3000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence W3263 (TX)

Record details

NPI number1356030803
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2023
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1631 11th St Unit B, Wichita Falls, TX 76301-4332

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Wichita Falls