Individual
DR. SHIWAN KAMAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-2608
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N2793
TX
207RP1001X
Pulmonary Disease Physician
Primary
N2793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3851804202
MYUTMB 3851804202-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
03/06/2020
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