Individual
ANAND R SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-3916
(214) 648-8423
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-3916
(214) 648-8423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LP00449
RI
207P00000X
Emergency Medicine Physician
MD13025
RI
207P00000X
Emergency Medicine Physician
MD440167
PA
207P00000X
Emergency Medicine Physician
Primary
P4379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001258201
MEDICARE
RI
01
—
07/01/2009
UNITED HEALTHCARE
RI
01
—
07/30/2009
BCBS
RI
01
—
10/13/2009
NHPRI
RI
01
—
10/27/2009
TUFTS HEALTH PLAN
MA
05
—
110082857A
—
MA
01
—
1194940973
NPI
RI
01
—
1962455022
UEMF NPI GROUP NUMBER
RI
01
—
939025129
RI MEDICARE GROUP
RI
05
—
AS76190
—
RI
Enumeration date
04/16/2007
Last updated
11/13/2012
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