Shah, Deepa M

Shah, Deepa M is an individual health care provider with primary practice located at 2400 Cedar Bend Dr , Austin TX 78758-5378. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shah, Deepa M can be contacted via phone (512) 901-4016.

Contact Information

Primary practice address
2400 Cedar Bend Dr Austin TX 78758-5378
Phone: (512) 901-4016
Fax: (512) 901-3857
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L0586 Texas
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X L0586 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L0586 Texas

Profile Details

NPI number 1184689937
LBN Legal business name Shah, Deepa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Nov 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184689937 NPPES
Texas MEDICAID 030217602

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