Individual
DR. AMIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
24441 KATY FWY, SUITE 300, KATY, TX 77494-1376
(281) 392-4010
(281) 715-5888
Mailing address
24441 KATY FWY, SUITE 300, KATY, TX 77494-1376
(281) 392-4010
(281) 715-5888
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06256TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347918ZCLW
MEDICARE PTAN
TX
Enumeration date
05/12/2006
Last updated
08/04/2014
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