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Organization

ANAND G. SHAH, MD, PA

Active
Other names
Anand G. Shah, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANAND GOPAL SHAH MD (PRESIDENT)
(210) 833-7972
Entity
Organization

Contact information

Practice address
18838 STONE OAK PKWY, SUITE 104, SAN ANTONIO, TX 78258-4113
(210) 833-7972
(210) 745-2971
Mailing address
18838 STONE OAK PKWY, SUITE 104, SAN ANTONIO, TX 78258-4179
(210) 833-7972
(210) 745-2971

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
M8988
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207808103
TX
Enumeration date
09/23/2013
Last updated
11/01/2013
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