Healthcare Provider Details

I. General information

NPI: 1891324448
Provider Name (Legal Business Name): RADHIKA ASHIT SHAH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8825 BEE CAVES RD STE 100
AUSTIN TX
78746-4721
US

IV. Provider business mailing address

8825 BEE CAVES RD STE 100
AUSTIN TX
78746-4721
US

V. Phone/Fax

Practice location:
  • Phone: 512-328-3376
  • Fax: 512-666-3767
Mailing address:
  • Phone: 512-328-3376
  • Fax: 512-666-3767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberV4747
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: