Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | P5131 | TX |
Y | 207YP0228X | Pediatric Otolaryngology | P5131 | TX |
NPI | 1558556969 |
---|---|
Provider Name | Gopi Bipin Shah |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2007 |
Last Update Date | 19/04/2016 |