Individual
SHILPAN SATISH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6445 MAIN STREET, OPC 24, HOUSTON, TX 77030
(713) 441-9948
Mailing address
6445 MAIN STREET, OPC 24, HOUSTON, TX 77030
(713) 441-9948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P4820
TX
207RH0003X
Hematology & Oncology Physician
Primary
P4820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329066001 (MDACC)
—
TX
05
—
329066004
—
TX
01
—
8EA138
BCBS (MDACC)
TX
Enumeration date
03/11/2008
Last updated
10/03/2018
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