Individual
DR. AMY H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 HESTERS CROSSING RD, ROUND ROCK, TX 78681-8018
(512) 346-6611
(512) 231-5204
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301091594
MI
208000000X
Pediatrics Physician
Primary
N4080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204363002
—
TX
05
—
204363003
—
TX
Enumeration date
09/12/2005
Last updated
12/18/2013
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