# GAURANG B SHAH, MD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003090457
- **Authorized official:** GAURANG B SHAH M.D. (OWNER)
- **Authorized official phone:** (859) 625-0045

## Contact information

- **Practice address:** 2025 CORPORATE DR, STE 1, RICHMOND, KY 40475-8884
- **Practice address phone:** (859) 625-0045
- **Mailing address:** 2025 CORPORATE DR, STE 1, RICHMOND, KY 40475-8884
- **Mailing address phone:** (859) 625-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 32532 | KY | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 04/15/2011