Individual
ROHAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 NORTHWEST HWY APT 3106, IRVING, TX 75039-3621
(201) 238-8495
Mailing address
501 NORTHWEST HWY APT 3106, IRVING, TX 75039-3621
(120) 123-8849
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP139159
TX
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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