Individual
DR. MUKESH VASANTLAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 MCKEAN AVE, SUITE 104, CHARLEROI, PA 15022-2141
(724) 489-0523
(724) 489-0321
Mailing address
PO BOX 112728, PITTSBURGH, PA 15241-0328
(724) 489-0523
(724) 489-0321
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
024125E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008842650006
—
PA
Enumeration date
11/28/2006
Last updated
07/08/2007
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