Provider Demographics
NPI:1033351796
Name:SHAH, SHWETA SHILPAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHWETA
Middle Name:SHILPAN
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1102 BATES AVE
Mailing Address - Street 2:SUITE 245
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2617
Mailing Address - Country:US
Mailing Address - Phone:832-824-3800
Mailing Address - Fax:832-825-9330
Practice Address - Street 1:1102 BATES AVE
Practice Address - Street 2:SUITE 245
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2617
Practice Address - Country:US
Practice Address - Phone:832-824-3800
Practice Address - Fax:832-825-9330
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TXQ50962080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program