Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | MD2016-0421 | NM |
Y | 2084N0402X | Child Neurologist | R8825 | TX |
NPI | 1134419864 |
---|---|
Provider Name | Dave Naresh Shahani |
First Address | Dallas, TX 75373-3784 |
Second Address | Fort Worth, TX 76104-2710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2011 |
Last Update Date | 09/04/2021 |