Organization
ATUL T SHAH MD PA
Active
Organization
ATUL T SHAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATUL T SHAH M.D. (OWNER)
(832) 260-4418
Entity
Organization
Contact information
Practice address
2802 GARTH ROAD, SUITE 115, BAYTOWN, TX 77521-3924
(281) 422-7970
(281) 422-7960
Mailing address
2802 GARTH ROAD, SUITE 115, BAYTOWN, TX 77521-3924
(281) 422-7970
(281) 422-7960
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J1039
TX
207RI0008X
Hepatology Physician
J1039
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066PN
BCBS
TX
01
—
DG8402
RAILROAD MEDICARE
TX
Enumeration date
04/03/2007
Last updated
06/02/2008
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