Healthcare Provider Details

I. General information

NPI: 1306030598
Provider Name (Legal Business Name): ANJANA DAKSHASH SHAH RN, MSN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANJANA MANHAR PATEL RN, MSN, ARNP

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 INWOOD RD FL 4
DALLAS TX
75390-2700
US

IV. Provider business mailing address

2001 INWOOD RD FL 4
DALLAS TX
75390-2700
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-8765
  • Fax:
Mailing address:
  • Phone: 214-645-8745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WU0100X
TaxonomyUrology Registered Nurse
License Number752416
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR0087228
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number752416
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number8660
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: