NPI Profile for NISHA N SHAH in ROCKWALL, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1598150781 |
|
| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 04/03/2015 | |
| Last updated | 07/04/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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NISHA N SHAH
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