# MIKE SHAH MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639274392
- **Authorized official:** MRUGESHKUMAR KANAIYALAL SHAH MD (PRESIDENT)
- **Authorized official phone:** (972) 499-4266

## Contact information

- **Practice address:** 6957 W PLANO PKWY, SUITE 2600, PLANO, TX 75093-1620
- **Practice address phone:** (972) 499-4266
- **Practice address fax:** (972) 591-4605
- **Mailing address:** PO BOX 941010, PLANO, TX 75094-1010
- **Mailing address phone:** (972) 499-4266
- **Mailing address fax:** (972) 591-4605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | L6174 | TX | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 10/20/2011