MEDICARE: DR. AATMAN SHAH

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	207ND0101X	MOHS-Micrographic Surgery Physician	U9353	TX

General Provider Information

NPI Number	:	1598119687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AATMAN SHAH

Provider Business Mailing Address
First Line	:	2444 CASTLE RIDGE DR
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-0045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5805 COIT RD STE 203
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-6990
Country	:	US
Telephone Number	:	469-769-3376
Fax Number	:	469-389-3376

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

Provider Enumeration Date	:	04/15/2016
Last Update Date	:	10/30/2024

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