Provider Demographics
NPI:1336608561
Name:SHAH GROUP HOLDING CORP
Entity Type:Organization
Organization Name:SHAH GROUP HOLDING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:281-605-0099
Mailing Address - Street 1:9494 SOUTHWEST FWY STE 450G
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1423
Mailing Address - Country:US
Mailing Address - Phone:281-605-0099
Mailing Address - Fax:
Practice Address - Street 1:9494 SOUTHWEST FWY STE 450G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1423
Practice Address - Country:US
Practice Address - Phone:281-605-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment