Provider Demographics
NPI:1083716252
Name:SHAH, SUNIL K (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:SUNIL
Middle Name:K
Last Name:SHAH
Suffix:
Gender:M
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 ROYAL CREST CT
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-4915
Mailing Address - Country:US
Mailing Address - Phone:562-965-4220
Mailing Address - Fax:
Practice Address - Street 1:832 ROYAL CREST CT
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-4915
Practice Address - Country:US
Practice Address - Phone:562-965-4220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108997225XH1200X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand