Individual
DR. SANDEEP ANIL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
051845
GA
2085R0202X
Diagnostic Radiology Physician
Primary
M6387
TX
2085R0202X
Diagnostic Radiology Physician
MD61484732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186428201
—
TX
Enumeration date
07/13/2006
Last updated
12/04/2025
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