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NPI Code Detail

MEDICARE: DR. NEIL DILIP SHAH MD

MEDICARE: DR. NEIL DILIP SHAH MD
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
1207XS0117XOrthopaedic Surgery of the Spine PhysicianA110336CA
2207XS0117XOrthopaedic Surgery of the Spine PhysicianN8722TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1EJ897ZOTHERMEDICARE PTAN

General Provider Information

NPI Number : 1437474608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEIL DILIP SHAH MD
Provider Business Mailing Address
First Line : PO BOX 34381
Second Line :
City : FORT WORTH
State : TX
Zip : 76162-4381
Country : US
Telephone Number : 214-680-9881
Fax Number :
Provider Business Practice Location Address
First Line : 6900 HARRIS PKWY STE 310
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4261
Country : US
Telephone Number : 817-916-4685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2010
Last Update Date : 07/21/2022

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Directions to “ DR. NEIL DILIP SHAH MD” Practice Location

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