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Individual
REENA SHAH
Active
Individual
REENA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2017021719
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2017021719
MO
390200000X
Student in an Organized Health Care Education/Training Program
94-07719
KS
Other
Enumeration date
06/10/2011
Last updated
03/25/2020
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