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Individual

SAMIR ASHOK SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 274-4800
(401) 454-0410
Mailing address
PO BOX 202230, DALLAS, TX 75320-2230
(401) 274-4800
(401) 454-0410

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
09420
RI
207RG0100X
Gastroenterology Physician
81704
MA

Other

Enumeration date
10/19/2005
Last updated
10/15/2025
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