Organization
BHADRESH B SHAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHADRESH B SHAH M.D. (PRESIDENT)
(281) 242-2444
Entity
Organization
Contact information
Practice address
4780 SWEETWATER BLVD STE 150, SUGAR LAND, TX 77479-3165
(281) 242-2444
(281) 242-2448
Mailing address
4780 SWEETWATER BLVD STE 150, SUGAR LAND, TX 77479-3165
(281) 242-2444
(281) 242-2448
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K1924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066LW
BCBSTX
TX
05
—
171997301
—
TX
Enumeration date
07/18/2007
Last updated
10/10/2007
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