Provider Demographics
NPI:1972867737
Name:SHAH, RUCHI D (MD)
Entity Type:Individual
Prefix:DR
First Name:RUCHI
Middle Name:D
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6400 FANNIN ST STE 1800
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1526
Mailing Address - Country:US
Mailing Address - Phone:713-486-9400
Mailing Address - Fax:134-869-5927
Practice Address - Street 1:6400 FANNIN ST STE 1800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1526
Practice Address - Country:US
Practice Address - Phone:713-486-9400
Practice Address - Fax:713-486-9592
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2022-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXR3957207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX760512625OtherTAX IDENTIFICATION NUMBER