Provider Demographics
NPI:1669648861
Name:SHAH, ARATHI APURVA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARATHI
Middle Name:APURVA
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ARATHI
Other - Middle Name:KANNANKUTTY
Other - Last Name:NAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5625 EIGER RD STE 225
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8983
Mailing Address - Country:US
Mailing Address - Phone:512-447-5588
Mailing Address - Fax:512-447-6990
Practice Address - Street 1:5625 EIGER RD STE 225
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8983
Practice Address - Country:US
Practice Address - Phone:512-447-5588
Practice Address - Fax:512-447-6990
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0494208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284751907Medicaid
TX284751908Medicaid