Individual
SORAYA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
7 SILVER BUCKLE RD, SANTA FE, NM 87508-1491
(206) 719-1959
Mailing address
HC 72 BOX 18, RIBERA, NM 87560-9601
(206) 719-1959
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
17172R
NM
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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