Provider Demographics
NPI:1518200179
Name:SHAH, NISHA V (MD)
Entity Type:Individual
Prefix:DR
First Name:NISHA
Middle Name:V
Last Name:SHAH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5233 BELLAIRE BLVD UNIT 579
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3901
Mailing Address - Country:US
Mailing Address - Phone:352-613-2793
Mailing Address - Fax:708-725-3545
Practice Address - Street 1:6565 WEST LOOP S UNIT 225
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3500
Practice Address - Country:US
Practice Address - Phone:832-499-9722
Practice Address - Fax:708-725-3545
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2023-05-01
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Provider Licenses
StateLicense IDTaxonomies
TXR6093207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology