DR. AMITA RASHMIKANT SHAH MD NPI 1164621439

NPI Information

NPI: 1164621439
Provider Name: DR. AMITA RASHMIKANT SHAH, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
4 DOMINION DR BLDG 1
SAN ANTONIO, TX
ZIP 78257
Phone: (210) 658-3555
Get Directions

DR. Amita Rashmikant Shah, MD is a plastic and reconstructive surgery surgery in San Antonio, TX with 19 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Amita Rashmikant Shah, MD NPI is 1164621439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:2005

The provider's business location address is:

4 DOMINION DR BLDG 1
SAN ANTONIO, TX
ZIP 78257-390
Phone: (210) 658-3555
Fax: (210) 362-1582

The NPI 1164621439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	Q8633	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	361488502	OTHER	TEXAS	CSHCN
2	13932514	OTHER		CAQH
3	361488501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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