Individual
PRASUN PUSHKARRAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9180 PINECROFT DR STE 401, SHENANDOAH, TX 77380-3899
(713) 897-7621
Mailing address
9180 PINECROFT DR STE 401, SHENANDOAH, TX 77380-3899
(713) 897-7621
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R6900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R6900
MEDICAL BOARD
TX
Enumeration date
04/19/2018
Last updated
09/20/2024
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