Provider Demographics
NPI:1306030598
Name:SHAH, ANJANA DAKSHASH (RN, MSN, ARNP)
Entity Type:Individual
Prefix:
First Name:ANJANA
Middle Name:DAKSHASH
Last Name:SHAH
Suffix:
Gender:F
Credentials:RN, MSN, ARNP
Other - Prefix:
Other - First Name:ANJANA
Other - Middle Name:MANHAR
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, ARNP
Mailing Address - Street 1:2001 INWOOD RD FL 4
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-2700
Mailing Address - Country:US
Mailing Address - Phone:214-645-8745
Mailing Address - Fax:
Practice Address - Street 1:2001 INWOOD RD FL 4
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-2700
Practice Address - Country:US
Practice Address - Phone:214-645-8765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX752416163WU0100X, 363LF0000X
OKR0087228363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WU0100XNursing Service ProvidersRegistered NurseUrology