Individual
VISHAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 RIVER OAKS DR, SUITE 140, SOUTHLAKE, TX 76092-6845
(732) 306-5585
Mailing address
120 RIVER OAKS DR, SUITE 140, SOUTHLAKE, TX 76092-6845
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.121868
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35.121868
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
Q5097
TX
Other
Enumeration date
06/26/2010
Last updated
07/16/2015
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