Individual
PARIN P SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12302 BEND CREEK LN, PEARLAND, TX 77584-9727
(773) 562-0326
Mailing address
12302 BEND CREEK LN, PEARLAND, TX 77584-9727
(773) 562-0326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M2092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177075201
—
TX
05
—
177075202
—
TX
01
—
8J9909
BCBSTX PROV NO
TX
01
—
P00251032
RAILROAD MEDICARE PROV NO
TX
01
—
P00309280
RAILROAD MCARE
TX
Enumeration date
01/23/2006
Last updated
07/14/2009
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