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Contact Information

NISHA N SHAH, DPM
201 E INTERSTATE 30
ROCKWALL, TX75087
 Phone: 214-771-3668
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NISHA N SHAH · (Female)

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
  • TX License # 2330
Hospital affiliation(s)
  • LAKE POINTE MEDICAL CENTER - (Acute Care)
    6800 SCENIC DR
    ROWLETT, TX 75088
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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