Organization
GAURANG B SHAH, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG B SHAH M.D. (OWNER)
(859) 625-0045
Entity
Organization
Contact information
Practice address
2025 CORPORATE DR, STE 1, RICHMOND, KY 40475-8884
(859) 625-0045
Mailing address
2025 CORPORATE DR, STE 1, RICHMOND, KY 40475-8884
(859) 625-0045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32532
KY
Other
Enumeration date
12/20/2007
Last updated
04/15/2011
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