Individual
DR. NEEL NITIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY STE 120, MIDLAND, TX 79701-5849
(432) 221-5970
(866) 634-3322
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Q7470
TX
2084V0102X
Vascular Neurology Physician
40680
SC
2084V0102X
Vascular Neurology Physician
Primary
Q7470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406803
—
SC
01
—
Q7470
TX MED LIC
TX
Enumeration date
05/29/2012
Last updated
03/31/2024
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