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Individual

ANKOOR R SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6560 FANNIN ST, SUITE 750, HOUSTON, TX 77030-2761
(713) 524-3434
(713) 524-3220
Mailing address
6560 FANNIN ST, SUITE 750, HOUSTON, TX 77030-2761
(713) 524-3434
(713) 524-3220

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
Q3797
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Q3797
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
350353402
TX
01
422762YTWA
MEDICARE ID
TX
Enumeration date
04/15/2010
Last updated
03/29/2017
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