| Kiran P Shah, Md, Pa | |
|
4217 Marsh Ridge Rd Suite 120 Carrollton TX 75010 | |
| (972) 306-6300 | |
| (972) 306-6500 |
| Full Name | Kiran P Shah, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4217 Marsh Ridge Rd, Carrollton, Texas |
| Authorized Official Name and Position | Kiran P Shah (MANAGING PARTNER) |
| Authorized Official Contact | 9723066300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiran P Shah, Md, Pa 4217 Marsh Ridge Rd Suite 120 Carrollton TX 75010 Ph: (972) 306-6300 | Kiran P Shah, Md, Pa 4217 Marsh Ridge Rd Suite 120 Carrollton TX 75010 Ph: (972) 306-6300 |
| NPI Number | 1306880505 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 11/28/2007 |
| Medicare PECOS PAC ID | 1052407822 |
|---|---|
| Medicare Enrollment ID | O20071010000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306880505 | NPI | - | NPPES |
| 0090QG | Other | TX | BCBS |
| 0021CF | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kiran P Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255374302 PECOS PAC ID: 6305831561 Enrollment ID: I20040416001241 |
| Provider Name | Alpa K Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255474862 PECOS PAC ID: 6406942093 Enrollment ID: I20071011000718 |
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