| Doctor Name: | MANSI SHAH |
| NPI Number: | 1003090663 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | N1445 |
| Business Practice Address: | 1455 E Bert Koun Loop #210 Shreveport, LA - 711055634 |
| Business Phone Number: | 3187984515 |
| Business Fax Number: | 3187984530 |
| Mailing Address: | 1455 E Bert Koun Loop, #210 SHREVEPORT |
| State: | LA |
| Postal Code: | 711055634 |
| Phone Number: | 3187984515 |
| Fax Number: | 3187984530 |
| NPI Enumeration Date: | 12/19/2007 |
| NPI Last Update Date: | 02/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | N1445 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |