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NPI Code Detail

MEDICARE: DR. SAMIR HASMUKH SHAH M.D.

MEDICARE: DR. SAMIR HASMUKH 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
12084V0102XVascular Neurology PhysicianM9646TX
22084N0400XNeurology PhysicianM9646TX

General Provider Information

NPI Number : 1881787323
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMIR HASMUKH SHAH M.D.
Provider Business Mailing Address
First Line : 8390 LYNDON B JOHNSON FWY STE 1000
Second Line :
City : DALLAS
State : TX
Zip : 75243-1288
Country : US
Telephone Number : 214-750-9977
Fax Number : 214-750-9983
Provider Business Practice Location Address
First Line : 8390 LYNDON B JOHNSON FWY STE 1000
Second Line :
City : DALLAS
State : TX
Zip : 75243-1288
Country : US
Telephone Number : 214-750-9977
Fax Number : 214-750-9983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 12/17/2025

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