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General NPI Number Information
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NPI Number | 1699974709
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Entity Type | Organization
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Legal Business Name | BHADRESH B SHAH MD PA
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 4780 SWEETWATER BLVD STE 150
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City | SUGAR LAND
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State | TX
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Zip | 77479-3165
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Country | US
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Telephone | 281-242-2444
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Fax | 281-242-2448
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Provider Business Mailing Address
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Address Line | 4780 SWEETWATER BLVD STE 150
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City | SUGAR LAND
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State | TX
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Zip | 77479-3165
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Country | US
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Telephone | 281-242-2444
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Fax | 281-242-2448
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Authorized Official
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Title or Position | PRESIDENT
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Name | BHADRESH B SHAH
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Credential | M.D.
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Telephone | 281-242-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | K1924
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License Number State | TX
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