Organization
KIRAN P SHAH, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRAN P SHAH MD (MANAGING PARTNER)
(972) 306-6300
Entity
Organization
Contact information
Practice address
4217 MARSH RIDGE RD, SUITE 120, CARROLLTON, TX 75010
(972) 306-6300
(972) 306-6500
Mailing address
4217 MARSH RIDGE RD, SUITE 120, CARROLLTON, TX 75010
(972) 306-6300
(972) 306-6500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021CF
BCBS
TX
01
—
0090QG
BCBS
TX
Enumeration date
06/16/2006
Last updated
11/28/2007
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