MEDICARE: DR. SOHAIL R. SHAH MD, MSHA

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
1	2086S0120X	Pediatric Surgery Physician	04-35084	KS
2	2086S0120X	Pediatric Surgery Physician	P9121	TX
3	208600000X	Surgery Physician	P9121	TX
4	2086S0120X	Pediatric Surgery Physician	2011016082	MO

General Provider Information

NPI Number	:	1447416466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOHAIL R. SHAH MD, MSHA

Provider Business Mailing Address
First Line	:	7400 FANNIN ST STE 1250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1971
Country	:	US
Telephone Number	:	713-796-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 FANNIN ST STE 1250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1971
Country	:	US
Telephone Number	:	713-796-1600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2008
Last Update Date	:	04/10/2026

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