Individual
NISHA NAYAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
201 E INTERSTATE 30, ROCKWALL, TX 75087
(214) 771-3668
Mailing address
201 E INTERSTATE 30, ROCKWALL, TX 75087-5402
(214) 771-3668
(614) 566-8073
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2330
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
07/04/2018
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