Individual
NADIA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0300
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0387
(469) 522-6889
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M8992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121715004
—
TX
Enumeration date
08/27/2006
Last updated
01/26/2016
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