Organization
UPTOWN MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MRUGESHKUMAR SHAH MD (PROVIDER)
(214) 520-1006
Entity
Organization
Contact information
Practice address
4228 N CENTRAL EXPY STE 104, DALLAS, TX 75206-6558
(214) 520-1006
Mailing address
4228 N CENTRAL EXPY STE 104, DALLAS, TX 75206-6558
(214) 520-1006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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