Individual
ATULKUMAR THAKORLAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 N WALDROP DR STE 509, ARLINGTON, TX 76012-4703
(817) 394-4300
(817) 394-0200
Mailing address
950 E STATE HIGHWAY 114 STE 220, SOUTHLAKE, TX 76092-5240
(214) 424-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C167727
CA
207RG0100X
Gastroenterology Physician
C167727
CA
207RG0100X
Gastroenterology Physician
Primary
J1039
TX
207RI0008X
Hepatology Physician
J1039
TX
207RT0003X
Transplant Hepatology Physician
C167727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100004129
RAILROAD MEDICARE
TX
05
—
114957707
—
TX
01
—
8AB810
BCBS
TX
01
—
8FX464
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/08/2005
Last updated
07/28/2025
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