Individual
DR. AMITA RASHMIKANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 DOMINION DR BLDG 1, SAN ANTONIO, TX 78257-1390
(210) 658-3555
(210) 362-1582
Mailing address
4 DOMINION DR BLDG 1, SAN ANTONIO, TX 78257-1390
(210) 658-3555
(210) 362-1582
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
Q8633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13932514
CAQH
—
05
—
361488501
—
TX
01
—
361488502
CSHCN
TX
Enumeration date
07/16/2007
Last updated
10/23/2023
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