Individual
KUNAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SETON PKWY STE 302, ROUND ROCK, TX 78665-8003
(512) 324-4812
Mailing address
10811 LAZY MEADOWS DR, HOUSTON, TX 77064-4231
(281) 890-6633
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
R7110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19106574
TX DL NUMBER
TX
05
—
428082802
—
TX
Enumeration date
04/04/2012
Last updated
12/14/2021
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