Individual
DR. DIPAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Mailing address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35856
TN
207RC0000X
Cardiovascular Disease Physician
Primary
M8990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1886513
—
LA
05
—
197597101
—
TX
05
—
197597102
—
TX
05
—
197597103
—
TX
05
—
197597104
—
TX
01
—
8AH673
BC/BS
TX
01
—
P00639774
RAILROAD MEDICARE
TX
01
—
P01037137
RR MEDICARE
TX
01
—
P01309355
RR MEDICARE
TX
Enumeration date
06/05/2006
Last updated
09/02/2014
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