Provider Demographics
NPI:1285708735
Name:SHAH, STEPHANIE HUGGHINS (MD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:HUGGHINS
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:YVONNE
Other - Last Name:HUGGHINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 941010
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75094-1010
Mailing Address - Country:US
Mailing Address - Phone:214-403-0682
Mailing Address - Fax:
Practice Address - Street 1:2692 W WALNUT ST STE 207
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6418
Practice Address - Country:US
Practice Address - Phone:214-403-0682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6175207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology