Individual
AITAZAZ A SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2900 N INTERSTATE 35, SUITE 118, DENTON, TX 76201-5141
(940) 380-8100
(940) 380-8112
Mailing address
2900 N INTERSTATE 35, SUITE 118, DENTON, TX 76201-5141
(940) 380-8100
(940) 380-8112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175328701
—
TX
01
—
8S3490
BLUE CROSS OF TEXAS
TX
Enumeration date
07/25/2006
Last updated
07/09/2007
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