Individual
DR. AMI AMAR SHAH VIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 N LAKELINE BLVD STE 100, CEDAR PARK, TX 78613-2088
(512) 553-9545
Mailing address
10012 LAVON BND, AUSTIN, TX 78717-4169
(512) 553-9545
(484) 968-8082
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
Q3461
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Q3461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83050379
TAX ID
TX
Enumeration date
06/15/2009
Last updated
04/24/2023
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