Provider Demographics
NPI:1497957773
Name:SHAH, ZILLE HUMA (MD)
Entity Type:Individual
Prefix:
First Name:ZILLE
Middle Name:HUMA
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5899 PRESTON RD STE 1004
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9593
Mailing Address - Country:US
Mailing Address - Phone:214-295-6559
Mailing Address - Fax:214-432-2434
Practice Address - Street 1:5899 PRESTON RD STE 1004
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9593
Practice Address - Country:US
Practice Address - Phone:214-295-6559
Practice Address - Fax:213-432-2434
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN4739207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP1-0022448OtherINSTITUTIONAL PERMIT