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Individual
MR. PARESH SHAH
Active
Individual
MR. PARESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
01038430
IN
208D00000X
General Practice Physician
01038430
IN
Other
Enumeration date
09/20/2005
Last updated
08/29/2010
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