Provider Demographics
NPI:1093238958
Name:SHAH, UNNATI (DDS, MPH, BDS)
Entity Type:Individual
Prefix:DR
First Name:UNNATI
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:DDS, MPH, BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 BRAESWOOD PARK DR APT 112
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4437
Mailing Address - Country:US
Mailing Address - Phone:832-904-6177
Mailing Address - Fax:
Practice Address - Street 1:6808 HARRISBURG BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4626
Practice Address - Country:US
Practice Address - Phone:713-928-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33323122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist