Individual
DR. PRASHANT C. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
(254) 724-7603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
242142
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
234662
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
242142
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD440865
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Q5095
TX
Other
Enumeration date
12/15/2007
Last updated
10/15/2020
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