Individual
DR. NEIL DILIP SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 HARRIS PKWY STE 310, FORT WORTH, TX 76132-4261
(817) 916-4685
Mailing address
PO BOX 34381, FORT WORTH, TX 76162-4381
(214) 680-9881
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
A110336
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
N8722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EJ897Z
MEDICARE PTAN
—
Enumeration date
03/31/2010
Last updated
07/21/2022
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