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Individual
DR. MAULIK RAJ SHAH
Active
Individual
DR. MAULIK RAJ SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME107485
FL
207SG0201X
Clinical Genetics (M.D.) Physician
2002014672
MO
207SG0201X
Clinical Genetics (M.D.) Physician
ME107485
FL
208000000X
Pediatrics Physician
2002014672
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007181600
—
FL
05
—
205999006
—
MO
Enumeration date
08/08/2006
Last updated
10/15/2014
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