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NPI Code Detail

MEDICARE: ANILA SHAH DDS

MEDICARE:   ANILA  SHAH  DDS
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
11223G0001XGeneral Practice Dentistry20959TX

General Provider Information

NPI Number : 1588688626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANILA SHAH DDS
Provider Business Mailing Address
First Line : 9829 MADELINE ALYSSA CT
Second Line :
City : HOUSTON
State : TX
Zip : 77025-4342
Country : US
Telephone Number : 713-661-3351
Fax Number : 713-473-8787
Provider Business Practice Location Address
First Line : 320 SOUTHMORE AVE STE 312B
Second Line :
City : PASADENA
State : TX
Zip : 77502-1135
Country : US
Telephone Number : 713-473-7733
Fax Number : 713-473-8787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/09/2007

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Directions to “ ANILA SHAH DDS” Practice Location

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