Individual
DR. AMAN A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712
(254) 202-2000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 215-9790
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M1440
TX
207Q00000X
Family Medicine Physician
Primary
M1440
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
M1440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178011602
—
TX
Enumeration date
07/25/2006
Last updated
10/15/2020
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