# ASHLAND BELLEFONTE OB-GYN

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

## Provider details

- **NPI number:** 1497970487
- **Authorized official:** DR. MRUDULA J SHAH M.D. (PHYSICIAN)
- **Authorized official phone:** (606) 836-8188

## Contact information

- **Practice address:** 1101 SAINT CHRISTOPHER DR, STE. 340, ASHLAND, KY 41101-7087
- **Practice address phone:** (606) 836-8188
- **Practice address fax:** (606) 836-8177
- **Mailing address:** PO BOX 2256, ASHLAND, KY 41105-2256
- **Mailing address phone:** (606) 836-8188
- **Mailing address fax:** (606) 836-8177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 19399 | KY | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 01/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64193998 | — | KY |