Individual
MUDITA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 8TH AVE, SUITE 324, FORT WORTH, TX 76104-2601
(817) 817-9800
Mailing address
800 8TH AVE, SUITE 324, FORT WORTH, TX 76104-2601
(817) 810-9800
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
N2791
TX
Other
Enumeration date
05/02/2007
Last updated
05/02/2013
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