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Dr. Amy H Shah

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NPI Number Detailed Information

Provider Information:

Name: Dr. Amy H Shah
Gender: F
Provider License Number If Given: N4080

NPI Information:

NPI: 1225022734
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 12/18/2013

Provider Business Mailing Address:

Address: PO BOX 26726
Austin, TX 78755
Phone Number: 5124078686
Fax Number: 5124066216

Provider Business Practice Location Address:

Address: 940 HESTERS CROSSING RD
Round Rock, TX 78681
Phone Number: 5123466611
Fax Number: 5122315204

Provider Taxonomy:

Primary: 208000000X
Secondary (if any): 208000000X
State: TX

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