Individual
DR. SONA K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6901 N 72ND ST STE 2400, OMAHA, NE 68122-1709
(402) 717-0070
Mailing address
6901 N 72ND ST STE 2400, OMAHA, NE 68122-1709
(304) 250-9102
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
02403
WV
2084N0400X
Neurology Physician
02403
WV
2084N0600X
Clinical Neurophysiology Physician
Primary
02403
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03796
BLUE CROSS
—
05
—
10025588700
—
NE
05
—
3870024324
—
WV
Enumeration date
05/18/2006
Last updated
07/06/2020
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