MEDICARE: PARIN P SHAH M.D.

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
1	207P00000X	Emergency Medicine Physician	M2092	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00251032	OTHER	TX	RAILROAD MEDICARE PROV NO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8J9909	OTHER	TX	BCBSTX PROV NO
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	P00309280	OTHER	TX	RAILROAD MCARE

General Provider Information

NPI Number	:	1538139647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARIN P SHAH M.D.

Provider Business Mailing Address
First Line	:	12302 BEND CREEK LN
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-9727
Country	:	US
Telephone Number	:	773-562-0326
Fax Number	:

Provider Business Practice Location Address
First Line	:	12302 BEND CREEK LN
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-9727
Country	:	US
Telephone Number	:	773-562-0326
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	07/14/2009

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Directions to “ PARIN P SHAH M.D.” Practice Location

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