Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | E9984 | TX |
NPI | 1003807520 |
---|---|
Provider Name | Dr. Sahibzada Mohsin Shah |
First Address | Dallas, TX 75235-0629 |
Second Address | Arlington, TX 76012-4705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 16/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
081585402 | (05) | TX |
113452005 | (05) | TX |
8F7168 | BCBS (01) | TX |
C21644 | (02) | TX |