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Individual
DR. YATIN SHAH
Active
Individual
DR. YATIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C53259
CA
208000000X
Pediatrics Physician
K1668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123734100
FIRST CARE PROV NUMBER
TX
05
—
125438503
—
TX
01
—
141962301
UNITED HEALTHCARE PROV NO
TX
01
—
1655359001
CIGNA PROV NUMBER
TX
01
—
5004343
AETNA PROVIDER NUMBER
TX
01
—
83Y185
BCBS PROVIDER NUMBER
TX
Enumeration date
06/24/2005
Last updated
05/29/2020
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