Doctor Name: | DR. SYED IRFAN SHAH |
NPI Number: | 1174606065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | K0192 |
Business Practice Address: | 2726 Matlock Rd Suite B Arlington, TX - 760152528 |
Business Phone Number: | 8174691260 |
Business Fax Number: | 8174594871 |
Mailing Address: | 2726 Matlock Rd, Suite B ARLINGTON |
State: | TX |
Postal Code: | 76015 |
Phone Number: | 8174691260 |
Fax Number: | 8174594871 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | K0192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |