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Individual
SHIVAM SHAH
Active
Individual
SHIVAM SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD472121
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD472121
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/17/2014
Last updated
10/01/2020
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