Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101241809 | VA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | A91455 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | M8988 | TX |
NPI | 1205903077 |
---|---|
Provider Name | Anand Gopal Shah |
First Address | San Antonio, TX 78258-4179 |
Second Address | San Antonio, TX 78258-4179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 07/11/2013 |