Individual
CHAITANYA B SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11307 FM 1960 RD W, STE. #125, HOUSTON, TX 77065-3687
(281) 894-4327
(281) 894-4360
Mailing address
11307 FM 1960 RD W, STE. #125, HOUSTON, TX 77065-3687
(281) 894-4327
(281) 894-4360
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M8332
TX
207RI0011X
Interventional Cardiology Physician
M8332
TX
207UN0901X
Nuclear Cardiology Physician
M8332
TX
Other
Enumeration date
10/27/2005
Last updated
06/24/2022
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