Organization
SHIVRUDRA PLLC
Active
Organization
SHIVRUDRA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHUL SHAH DO (CEO)
(817) 789-5044
Entity
Organization
Contact information
Practice address
4441 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75028-5410
(469) 933-2253
(469) 933-2254
Mailing address
1111 TERRACE DR, LANTANA, TX 76226-6672
(817) 789-5044
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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