Individual
DR. MITUL B SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1031 BELLEVUE AVE, SUITE 400, SAINT LOUIS, MO 63117-1818
(314) 977-7455
(314) 977-7477
Mailing address
6420 CLAYTON RD, SUITE 290, SAINT LOUIS, MO 63117-1811
(314) 781-1505
(314) 781-2840
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
111027
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20509400
—
MO
Enumeration date
07/05/2006
Last updated
12/30/2009
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