Individual
DR. PANKAJKUMAR GOPALDAS SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1506 E GRIFFIN PKWY, MISSION, TX 78572
(956) 583-0202
(956) 583-0200
Mailing address
1506 E GRIFFIN PKWY, MISSION, TX 78572
(956) 583-0202
(956) 583-0200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J9336
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133210806
—
TX
05
—
133210809
—
TX
Enumeration date
08/15/2005
Last updated
06/12/2024
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