# SHAH MEDICAL CLINIC PROF LLC

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

## Provider details

- **NPI number:** 1982042255
- **Authorized official:** DR. SYEH ASIF R SHAH MD (OWNER)
- **Authorized official phone:** (605) 275-0066

## Contact information

- **Practice address:** 6709 S MINNESOTA AVE STE 200, SIOUX FALLS, SD 57108-2593
- **Practice address phone:** (605) 275-0066
- **Mailing address:** 6709 S MINNESOTA AVE STE 200, SIOUX FALLS, SD 57108-2593
- **Mailing address phone:** (605) 275-0066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0537 | SD | Yes |

## Other

- **Enumeration date:** 06/10/2013
- **Last updated:** 06/10/2013
