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Individual

KOMAL SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1144 AIRPORT BLVD STE 235, AUSTIN, TX 78702-3106
(512) 928-5808
(512) 928-5722
Mailing address
322 TUXEDO PL, HAWTHORNE, NY 10532-1011
(914) 769-2288

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
008599
NY
152W00000X
Optometrist
Primary
9316TG
TX

Other

Enumeration date
07/06/2017
Last updated
12/20/2022
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