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Organization

ARUNKUMAR J. SHAH MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL M. MOYA R. NCS T. (ADMINISTRATOR)
(281) 667-6568
Entity
Organization

Contact information

Practice address
1035 VAULTED OAK ST, HOUSTON, TX 77008-1297
(713) 202-0820
(888) 600-4066
Mailing address
PO BOX 50023, CORPUS CHRISTI, TX 78465-0023
(281) 667-6568
(888) 600-4066

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
F6323
TX
207Q00000X
Family Medicine Physician
F6323
TX
207R00000X
Internal Medicine Physician
Primary
F6323
TX
207RG0100X
Gastroenterology Physician
F6323
TX
208D00000X
General Practice Physician
F6323
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133912905
TX
Enumeration date
11/24/2014
Last updated
11/24/2014
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