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NPI Code Detail

MEDICARE: SHAN MEDICAL ASSOCIATION

MEDICARE: SHAN MEDICAL ASSOCIATION
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20066CROTHERTXBCBS

General Provider Information

NPI Number : 1194878975
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAN MEDICAL ASSOCIATION
Provider Business Mailing Address
First Line : 11717 HIGHLAND MEADOW DR
Second Line : #300
City : HOUSTON
State : TX
Zip : 77089-6830
Country : US
Telephone Number : 281-464-6042
Fax Number : 281-464-6706
Provider Business Practice Location Address
First Line : 11717 HIGHLAND MEADOW DR
Second Line : #300
City : HOUSTON
State : TX
Zip : 77089-6830
Country : US
Telephone Number : 281-464-6042
Fax Number : 281-464-6706
Authorized Official
Title or Position : OWNER
Name : DR. MANEESH NATVARLAL PATEL
Credential : MD
Telephone Number : 281-464-6042
Provider Enumeration Date : 01/18/2007
Last Update Date : 09/22/2010

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Directions to “SHAN MEDICAL ASSOCIATION ” Practice Location

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