| Jagdish A. Shah,md | |
|
1220 East 6th Street Bonham TX 75418 | |
| (903) 583-7424 | |
| (903) 583-0442 |
| Full Name | Jagdish A. Shah,md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1220 East 6th Street, Bonham, Texas |
| Authorized Official Name and Position | Jagdish Amratlal Shah (OWNER) |
| Authorized Official Contact | 9035837424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jagdish A. Shah,md 1220 E 6th St Bonham TX 75418-4017 Ph: (903) 583-7424 | Jagdish A. Shah,md 1220 East 6th Street Bonham TX 75418 Ph: (903) 583-7424 |
| NPI Number | 1275745465 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275745465 | NPI | - | NPPES |
| 080892501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J2792 (Texas) | Primary |
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