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NPI Code Detail

MEDICARE: DR. KAUSHIK HARSHAD SHAH

MEDICARE:  DR. KAUSHIK HARSHAD SHAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30181TX
21223G0001XGeneral Practice Dentistry19027201IL
31223G0001XGeneral Practice Dentistry30181TX

General Provider Information

NPI Number : 1346364403
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAUSHIK HARSHAD SHAH
Provider Business Mailing Address
First Line : PO BOX 230209
Second Line :
City : HOUSTON
State : TX
Zip : 77223-0209
Country : US
Telephone Number : 713-660-1880
Fax Number : 713-926-9105
Provider Business Practice Location Address
First Line : 7635 CANAL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77012-1143
Country : US
Telephone Number : 713-660-1880
Fax Number : 713-926-9105
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 08/12/2024

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Directions to “ DR. KAUSHIK HARSHAD SHAH ” Practice Location

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