Provider Demographics
NPI:1205172673
Name:SHAH, PARTH S (DPT)
Entity type:Individual
Prefix:DR
First Name:PARTH
Middle Name:S
Last Name:SHAH
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19221
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-9221
Mailing Address - Country:US
Mailing Address - Phone:832-532-0144
Mailing Address - Fax:832-553-7377
Practice Address - Street 1:15591 CREEK BEND DR STE 201
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4657
Practice Address - Country:US
Practice Address - Phone:832-532-0144
Practice Address - Fax:832-553-7377
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01474500225100000X
TX1292298225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist