Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 108997 | TX |
NPI | 1083716252 |
---|---|
Provider Name | Sunil K Shah |
First Address | Mckinney, TX 75072-4915 |
Second Address | Mckinney, TX 75072-4915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 10/01/2021 |