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NPI Code Detail

MEDICARE: DR. SANDEEP ANIL SHAH MD

MEDICARE: DR. SANDEEP ANIL 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
12085R0202XDiagnostic Radiology PhysicianM6387TX
22085R0202XDiagnostic Radiology PhysicianMD61484732WA
32085R0202XDiagnostic Radiology Physician051845GA

Other Identifiers

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

General Provider Information

NPI Number : 1902821259
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDEEP ANIL SHAH MD
Provider Business Mailing Address
First Line : 12554 RIATA VISTA CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78727-6431
Country : US
Telephone Number : 512-795-5100
Fax Number : 512-795-5122
Provider Business Practice Location Address
First Line : 12554 RIATA VISTA CIR
Second Line :
City : AUSTIN
State : TX
Zip : 78727-6431
Country : US
Telephone Number : 512-795-5100
Fax Number : 512-795-5122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 12/04/2025

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Directions to “ DR. SANDEEP ANIL SHAH MD” Practice Location

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